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JEREMY DAVID TILLIM MD
NPI 1366423410
Emergency Medicine in Oakland, CA

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
5000 MACARTHUR BLVD, PMB 9002, OAKLAND, CA 94613(925) 884-2365(925) 884-2375 Get Directions Write a Review

NPPES record last updated: March 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy David Tillim Md NPPES

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

JEREMY DAVID TILLIM MD (NPI 1366423410) is an individual emergency medicine provider in Oakland, California, licensed in California (G57659) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (1985).

NPPES Registry Identity

NPI1366423410
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJEREMY DAVID TILLIMCredential: MD
Location Address5000 MACARTHUR BLVD, PMB 9002Oakland, CA 94613-1301
Mailing Address5000 Macarthur Blvd, Pmb 9002Oakland, CA 94613-1301 · (925) 884-2365 · Fax (925) 884-2375
Phone(925) 884-2365
Fax(925) 884-2375
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1985
Enumeration DateNovember 7, 2005
Last NPPES UpdateMarch 29, 2013
✔ NPI 1366423410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · G57659
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5000 MACARTHUR BLVD, Oakland, CA 94613
Open in Google Maps ↗

Other Identifiers 5

Other00G576590CA · Blue Shield
Medicare UPINE72092
Medicaid00G576590CA
Medicare PIN00G576591CA
Medicare PIN00G576590CA

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

Jeremy David Tillim 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 ID5496707671
PECOS Enrollment IDI20080728000644
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 5

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.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
36 services30 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
32 services32 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
21 services21 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
19 services19 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94613 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Other Providers at the Same Location NPPES 10

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

DR. BRITTANY COOPER PH.D.
Psychologist (Clinical)
5000 MACARTHUR BLVD
OAKLAND, CA 94613
Alameda County (510) 430-2111
MIA ANGELIQUE CURTIS
Counselor (School)
5000 MACARTHUR BLVD
OAKLAND, CA 94613
Alameda County (714) 614-2250
JITHA MANGALATH
Counselor (Mental Health)
5000 MACARTHUR BLVD
OAKLAND, CA 94613
Alameda County (510) 430-2255
PROF. DEBORAH SUSAN JOHNSON MS, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5000 MACARTHUR BLVD, COUNSELING AND PSYCHOLOGICAL SERVICES
OAKLAND, CA 94613
Alameda County (916) 947-1740
EKANSHA TABHANE
Behavior Technician
5000 MACARTHUR BLVD
OAKLAND, CA 94613
Alameda County (201) 344-9507
SHANIA CONSTANZA MAILLET
Behavior Technician
5000 MACARTHUR BLVD
OAKLAND, CA 94613
Alameda County (978) 870-7466
SARAH TINAWI
Counselor (Mental Health)
5000 MACARTHUR BLVD
OAKLAND, CA 94613
Alameda County (415) 430-5327
NATALIE SPANGLER ATC
Specialist/Technologist (Athletic Trainer)
5000 MACARTHUR BLVD
OAKLAND, CA 94613
Alameda County (510) 430-3323

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 Jeremy Tillim's NPI number?

The NPI number for Jeremy Tillim is 1366423410. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Jeremy Tillim located?

Jeremy Tillim practices at 5000 Macarthur Blvd Pmb 9002, Oakland, CA 94613. The listed phone number is (925) 884-2365.

What is Jeremy Tillim's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jeremy Tillim enrolled in Medicare?

Yes. Jeremy Tillim 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.

When was this NPI record last updated?

The NPPES record for Jeremy Tillim was last updated on March 29, 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.