DR. TINA NANNETTE TILLIS MD
NPI 1174595318
Ophthalmology in Jacksonville, FL

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
61.48/100
CMS Quality Rating
3890 DUNN AVE, #902, JACKSONVILLE, FL 32218(904) 345-3473 Get Directions Write a Review

NPPES record last updated: February 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tina Nannette Tillis Md NPPES

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

DR. TINA NANNETTE TILLIS MD (NPI 1174595318) is an individual ophthalmology provider in Jacksonville, Florida, licensed in Florida (ME64518) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (1985).

NPPES Registry Identity

NPI1174595318
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. TINA NANNETTE TILLISCredential: MD
Location Address3890 DUNN AVE, #902Jacksonville, FL 32218-6428
Mailing AddressP O Box 10525Jacksonville, FL 32247-0525 · (904) 345-3473
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1985
Enumeration DateFebruary 2, 2006
Last NPPES UpdateFebruary 12, 2014
NPI 1174595318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME64518
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3890 DUNN AVE, Jacksonville, FL 32218

Other Identifiers 6

Medicare UPINF28077FL
Medicaid3732029-00FL
Medicare PIN23164XFL
Medicare PIN23164YFL
Medicaid000581941FGA
OtherP00061611FL · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tina Nannette Tillis Md 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 ID9032010871
PECOS Enrollment IDI20040115000728
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.

Areas of Expertise CMS Part B claims 12

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
307 services286 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
242 services139 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.
211 services141 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services58 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).
87 services86 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

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.

61.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.58
Promoting Interoperability0
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%55 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%75 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
98%2,267 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%437 patients
Provide Patients Electronic Access to Their Health Information
1%1,409 patients1/55-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 20

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

Case Management
3890 DUNN AVE, SUITE 1104
JACKSONVILLE, FL 32218
Internal Medicine (Cardiovascular Disease)
3890 DUNN AVE, STE 203
JACKSONVILLE, FL 32218
Counselor (Addiction (Substance Use Disorder))
3890 DUNN AVE
JACKSONVILLE, FL 32218
Ophthalmology
3890 DUNN AVE, STE 902
JACKSONVILLE, FL 32218
Counselor (Mental Health)
3890 DUNN AVE
JACKSONVILLE, FL 32218
Counselor (Mental Health)
3890 DUNN AVE
JACKSONVILLE, FL 32218
Podiatrist
3890 DUNN AVE, STE 101
JACKSONVILLE, FL 32218
Counselor (Mental Health)
3890 DUNN AVE
JACKSONVILLE, FL 32218

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 Tina Tillis's NPI number?

The NPI number for Tina Tillis is 1174595318. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Tina Tillis located?

Tina Tillis practices at 3890 Dunn Ave #902, Jacksonville, FL 32218. The listed phone number is (904) 345-3473.

What is Tina Tillis's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Tina Tillis enrolled in Medicare?

Yes. Tina Tillis 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.

What insurance does Tina Tillis accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Tina Tillis 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 Tina Tillis was last updated on February 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.