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DR. DON E TILLERY JR. DMD
NPI 1306950274
Dentist - Oral and Maxillofacial Surgery in Winter Park, FL

Active since August 18, 2006Opted out of Medicare · through Jan 2, 2027
800 W MORSE BLVD, STE 2, WINTER PARK, FL 32789(407) 628-5400(407) 628-5389 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Don E Tillery Jr. Dmd NPPES

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

DR. DON E TILLERY JR. DMD (NPI 1306950274) is an individual oral and maxillofacial surgery provider in Winter Park, Florida, licensed in Florida (DN10178) and active in the NPI registry since August 2006. He has opted out of Medicare through January 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306950274
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. DON E TILLERY JR.Credential: DMD
Location Address800 W MORSE BLVD, STE 2Winter Park, FL 32789
Mailing Address800 W Morse Blvd, Ste 2Winter Park, FL 32789 · (407) 628-5400 · Fax (407) 628-5389
Phone(407) 628-5400
Fax(407) 628-5389
Sole ProprietorYes
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 29, 2008
✔ NPI 1306950274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in FL · DN10178
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
800 W MORSE BLVD, Winter Park, FL 32789
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Don E Tillery Jr. Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2013 through January 2, 2027.

Opt-Out Effective DateJanuary 2, 2013
Opt-Out In Effect ThroughJanuary 2, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32789 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 4

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

MALCOLM EDWARD HAWLEY D.D.S.
Dentist
800 W MORSE BLVD, SUITE #3-C
WINTER PARK, FL 32789
Orange County (407) 647-8384
DR. DONALD SCOTT ROTATORI M.D.
Plastic Surgery
800 W MORSE BLVD, SUITE #5
WINTER PARK, FL 32789
Orange County (407) 628-5476
TILLERY GROUP PA
Dentist (Oral and Maxillofacial Surgery)
800 W MORSE BLVD, SUITE 2
WINTER PARK, FL 32789
Orange County (407) 628-5400
D. SCOTT ROTATORI, M.D., P.A.
Specialist
800 W MORSE BLVD, SUITE 5
WINTER PARK, FL 32789
Orange County (407) 628-5476

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 Don Tillery's NPI number?

The NPI number for Don Tillery is 1306950274. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Don Tillery located?

Don Tillery practices at 800 W Morse Blvd Ste 2, Winter Park, FL 32789. The listed phone number is (407) 628-5400.

What is Don Tillery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Don Tillery enrolled in Medicare?

No. Don Tillery has opted out of Medicare through January 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Don Tillery accept?

Health plans from Guardian list Don Tillery 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 Don Tillery was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.