DR. MICHAEL FREDRICK TILLERY D.D.S.
NPI 1356494462
Dentist in Indianapolis, IN

Active since January 19, 2007PECOS Enrolled
3410 N HIGH SCHOOL RD, SUITE B, INDIANAPOLIS, IN 46224(317) 291-8957(317) 291-2115 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael Fredrick Tillery D.d.s. NPPES

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

DR. MICHAEL FREDRICK TILLERY D.D.S. (NPI 1356494462) is an individual dentist in Indianapolis, Indiana, licensed in Indiana (12007704A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356494462
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL FREDRICK TILLERYCredential: D.D.S.
Location Address3410 N HIGH SCHOOL RD, SUITE BIndianapolis, IN 46224-1742
Mailing Address3410 N High School Rd, Suite BIndianapolis, IN 46224-1742 · (317) 291-8957 · Fax (317) 291-2115
Fax(317) 291-2115
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1356494462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IN · 12007704A
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3410 N HIGH SCHOOL RD, Indianapolis, IN 46224

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 (PECOS)

Dr. Michael Fredrick Tillery D.d.s. 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 46224 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 5

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

Podiatrist (Foot & Ankle Surgery)
3410 N HIGH SCHOOL RD
INDIANAPOLIS, IN 46224
Dentist (General Practice)
3410 N HIGH SCHOOL RD, SUITE B
INDIANAPOLIS, IN 46224
Dentist
3410 N HIGH SCHOOL RD
INDIANAPOLIS, IN 46224
Dentist (General Practice)
3410 N HIGH SCHOOL RD
INDIANAPOLIS, IN 46224
Social Worker (Clinical)
3410 N HIGH SCHOOL RD, SUITE G #285
INDIANAPOLIS, IN 46224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356494462, enumerated as an "individual" on January 19, 2007.

The provider is located at 3410 N HIGH SCHOOL RD SUITE B INDIANAPOLIS, IN 46224 and the phone number is (317) 291-8957.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Blue Cross. Please consult your insurance carrier or call the provider to verify.