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TIMOTHY H TILLO D.P.M.
NPI 1154385029
Podiatrist in Jacksonville, FL

Active since April 17, 2006PECOS Enrolled
12276 SAN JOSE BLVD, STE 606, JACKSONVILLE, FL 32223(904) 224-2001(904) 260-1523 Get Directions Write a Review

NPPES record last updated: April 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy H Tillo D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY H TILLO D.P.M. (NPI 1154385029) is an individual podiatrist in Jacksonville, Florida, licensed in Florida (PO1862) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154385029
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameTIMOTHY H TILLOCredential: D.P.M.
Location Address12276 SAN JOSE BLVD, STE 606Jacksonville, FL 32223-8672
Mailing Address3117 Spring Glen Rd, Ste 402Jacksonville, FL 32207-5906 · (904) 224-2001 · Fax (904) 224-2002
Phone(904) 224-2001
Fax(904) 260-1523
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateApril 19, 2013
✔ NPI 1154385029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in FL · PO1862
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
12276 SAN JOSE BLVD, Jacksonville, FL 32223
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Other Identifiers 6

Medicare PIN21698A
Medicare PIN65019Y
Medicare PIN65019Z
Medicare UPINT86304FL
Medicare NSC0413700006FL
Medicare PIN21698B

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy H Tillo D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN O'HARA
Speech-Language Pathologist
12276 SAN JOSE BLVD, SUITE 507
JACKSONVILLE, FL 32223
Duval County (904) 288-8910
MRS. DEBRA SELLS
Physical Therapist (Pediatrics)
12276 SAN JOSE BLVD, STE 508
JACKSONVILLE, FL 32223
Duval County (904) 886-3228
MICHELLE ROBINSON
Occupational Therapist
12276 SAN JOSE BLVD, STE 507
JACKSONVILLE, FL 32223
Duval County (904) 288-8910
GREATSTRIDESREHABILITATION
Community/Behavioral Health
12276 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 886-3228
PLAY WORKS THERAPIES, P.A.
Speech-Language Pathologist
12276 SAN JOSE BLVD, SUITE 507
JACKSONVILLE, FL 32223
Duval County (904) 288-8910
KRISTINA BONILLA BCBA
Developmental Therapist
12276 SAN JOSE BLVD, SUITE 508
JACKSONVILLE, FL 32223
Duval County (904) 262-1111
KAITLIN MARIE SPARKS
Behavior Analyst
12276 SAN JOSE BLVD, SUITE 508
JACKSONVILLE, FL 32223
Duval County (904) 886-3228
NICOLE NICHOLAS ANTAR
Behavior Technician
12276 SAN JOSE BLVD
JACKSONVILLE, FL 32223
Duval County (904) 886-3228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Tillo's NPI number?

The NPI number for Timothy Tillo is 1154385029. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Timothy Tillo located?

Timothy Tillo practices at 12276 San Jose Blvd Ste 606, Jacksonville, FL 32223. The listed phone number is (904) 224-2001.

What is Timothy Tillo's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Timothy Tillo enrolled in Medicare?

Yes. Timothy Tillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Tillo was last updated on April 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.