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DR. JAMES H TILLMAN JR. O.D.
NPI 1164598215
Optometrist in Andalusia, AL

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
8.33/100
CMS Quality Rating
1860 E THREE NOTCH ST, ANDALUSIA, AL 36421(334) 222-2020 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James H Tillman Jr. O.d. NPPES

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

DR. JAMES H TILLMAN JR. O.D. (NPI 1164598215) is an individual optometrist in Andalusia, Alabama, licensed in Alabama (S620TA088) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1164598215
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMES H TILLMAN JR.Credential: O.D.
Location Address1860 E THREE NOTCH STAndalusia, AL 36421-2404
Mailing AddressPo Box 1517Andalusia, AL 36420-1226 · (334) 222-2020
Phone(334) 222-2020
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164598215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AL · S620TA088
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1860 E THREE NOTCH ST, Andalusia, AL 36421
Open in Google Maps ↗

Other Identifiers 2

Other51531187AL · Bcbs Provider Id
Medicare UPINT69089AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James H Tillman Jr. O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365467586
PECOS Enrollment IDI20051013000534
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.

Medicare Billing Reassignment

Medicare enrollment records show James Tillman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Andalusia Eye Clinic LLC
Same address
Optometrist
1860 E THREE NOTCH ST
Andalusia, AL 36421
  • Reassigned Medicare billing, Alabama enrollment
  • 4 clinicians in this Medicare group
NPI 1629133111 (334) 222-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
511 services344 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
259 services229 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
235 services200 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
62 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
49 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36421 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

8.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality16.66
Improvement Activities0

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
52%27 patients3/55-star benchmark: 95%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%107 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
88%161 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
64%234 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
86%3,490 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 72% · 618 patients
Patients tobacco: 68% · 618 patients
3%618 patients1/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
81%159 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

DR. MEREDITH TILLMAN FLATT OD
Optometrist
1860 E THREE NOTCH ST
ANDALUSIA, AL 36421
Covington County (334) 222-2020
ANDALUSIA EYE CLINIC LLC
Optometrist
1860 E THREE NOTCH ST
ANDALUSIA, AL 36421
Covington County (334) 222-2020
DENTISTRY WITH PURPOSE
Clinic/Center (Dental)
1860 E THREE NOTCH ST
ANDALUSIA, AL 36421
Covington County (850) 902-0057
DR. JENNIFER HOLLAND WAYER DMD
Dentist (General Practice)
1860 E THREE NOTCH ST
ANDALUSIA, AL 36421
Covington County (850) 683-3544

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 James Tillman's NPI number?

The NPI number for James Tillman is 1164598215. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is James Tillman located?

James Tillman practices at 1860 E Three Notch St, Andalusia, AL 36421. The listed phone number is (334) 222-2020.

What is James Tillman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is James Tillman enrolled in Medicare?

Yes. James Tillman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Tillman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Tillman reassigns Medicare benefits to Andalusia Eye Clinic LLC (Andalusia, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Tillman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list James Tillman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Tillman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.