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DR. SAMUEL DAVID TILLMANS M.D.
NPI 1366977787
Anesthesiology in Duluth, MN

Active since April 23, 2017PECOS EnrolledAccepts Medicare Assignment
400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 2, 2021, Apr 23, 2017 (2 updates tracked since 2017).

About Dr. Samuel David Tillmans M.d. NPPES

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

DR. SAMUEL DAVID TILLMANS M.D. (NPI 1366977787) is an individual anesthesiology provider in Duluth, Minnesota, licensed in Minnesota (69731) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366977787
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. SAMUEL DAVID TILLMANSCredential: M.D.
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Phone(218) 786-8364
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 23, 2017
Last NPPES UpdateAugust 2, 20212 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1366977787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MN · 69731
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
400 E 3RD ST, Duluth, MN 55805
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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. Samuel David Tillmans M.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 ID5092052332
PECOS Enrollment IDI20210813000047, I20210813002001, I20250902000562
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 Reassignments

2

Medicare enrollment records show Samuel Tillmans reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Duluth Clinic, Ltd
Same address
Multi-Specialty
400 E 3RD ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 1,460 clinicians in this Medicare group
NPI 1245278209 (218) 786-8364
Hospitalist Medicine Physicians Of Michigan-Alpena PLLC
791 mi
Anesthesiology
5410 MARYLAND WAY STE 300
Brentwood, TN 37027
  • Reassigned Medicare billing, Michigan enrollment
  • 44 clinicians in this Medicare group
NPI 1043818156 (615) 577-6301

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 3

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
23 services22 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
18 services18 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

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.

CHRISTIAN CONNER RN, CRNA
Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4150
DR. BRANDY LEE SWEENEY DO
Anesthesiology
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
JORDAN TICHENOR
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-3737
MOLLY B DWYER APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
AMY MARIE LARSON MD
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
BRUCE JAMES DERAUF
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
NIZAR NAJIB SALEH
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
DIANE MAE KOLQUIST
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364

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 Samuel Tillmans's NPI number?

The NPI number for Samuel Tillmans is 1366977787. It was assigned to this individual provider in the NPPES registry on April 23, 2017.

Where is Samuel Tillmans located?

Samuel Tillmans practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Samuel Tillmans's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Samuel Tillmans enrolled in Medicare?

Yes. Samuel Tillmans 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 organizations bill Medicare for Samuel Tillmans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Tillmans reassigns Medicare benefits to 2 organizations: The Duluth Clinic, Ltd (Duluth, MN) and Hospitalist Medicine Physicians Of Michigan-Alpena PLLC (Brentwood, TN). Each 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 Samuel Tillmans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samuel Tillmans affiliated with any hospitals?

According to CMS data, Samuel Tillmans is affiliated with Essentia Health St Mary's Medical Center and Essentia Health Duluth.

When was this NPI record last updated?

The NPPES record for Samuel Tillmans was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.