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MR. GARY M TILLMAN C.R.N.A.
NPI 1417018276
Nurse Anesthetist, Certified Registered in Le Mars, IA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
714 LINCOLN ST NE, LE MARS, IA 51031(712) 546-3398(712) 546-3352 Get Directions Write a Review

NPPES record last updated: November 17, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Gary M Tillman C.r.n.a. NPPES

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

MR. GARY M TILLMAN C.R.N.A. (NPI 1417018276) is an individual nurse anesthetist, certified registered in Le Mars, Iowa, licensed in Iowa (050971) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Sioux Center Health, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1417018276
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. GARY M TILLMANCredential: C.R.N.A.
Location Address714 LINCOLN ST NELe Mars, IA 51031-3314
Mailing Address714 Lincoln St NeLe Mars, IA 51031-3314 · (712) 546-3398 · Fax (712) 546-3352
Phone(712) 546-3398
Fax(712) 546-3352
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateDecember 13, 2006
Last NPPES UpdateNovember 17, 2010
✔ NPI 1417018276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IA · 050971
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
714 LINCOLN ST NE, Le Mars, IA 51031
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Wellmark Health Plan of Iowa, Inc..Insurance ›

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

Mr. Gary M Tillman C.r.n.a. 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 ID1254496623
PECOS Enrollment IDI20090218000521
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

4

Medicare enrollment records show Gary Tillman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Floyd Valley Healthcare
Same address
Critical Access
714 LINCOLN ST NE
Le Mars, IA 51031
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1104988294 (Iowa)
  • 40 clinicians in this Medicare group
NPI 1326109315 (712) 546-7871
Sioux Center Health
19 mi
Critical Access
1101 9TH ST SE
Sioux Center, IA 51250
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1669542981 (Iowa)
  • 45 clinicians in this Medicare group
NPI 1326056755 (712) 722-1271
Greater Siouxland Anesthesiology & Pain Prof LLC
25 mi
Nurse Anesthetist, Certified Registered
201 E 4TH ST
South Sioux City, NE 68776
  • Reassigned Medicare billing, Nebraska enrollment
  • 32 clinicians in this Medicare group
NPI 1750916490 (888) 209-0305
Todd Luedeke PC
25 mi
Nurse Anesthetist, Certified Registered
201 E 4TH ST
South Sioux City, NE 68776
  • Reassigned Medicare billing, Nebraska enrollment
  • 5 clinicians in this Medicare group
NPI 1194374066 (402) 369-4763

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 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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
109 services70 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
38 services32 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
38 services25 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
35 services30 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
21 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161346
Location1101 9th Street SESioux Center, IA 51250 · Sioux County
Emergency services

Floyd Valley Healthcare

Critical Access Hospitals · Le Mars, IA
OwnershipGovernment - Local
CMS Certification Number161368
Location714 Lincoln St NELe Mars, IA 51031 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51031 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 20

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

MRS. GERI L SCHROEDER ARNP
Nurse Practitioner
714 LINCOLN ST NE
LE MARS, IA 51031
Plymouth County (712) 546-3398
DR. SHEILA RAE HOLCOMB M.D.
Family Medicine
714 LINCOLN ST NE
LE MARS, IA 51031
Plymouth County (712) 546-3630
STELZER SURGERY, PC
General Practice
714 LINCOLN ST NE
LE MARS, IA 51031
Plymouth County (712) 546-8744
FLOYD VALLEY HEALTHCARE
Medicare Defined Swing Bed Unit
714 LINCOLN ST NE
LE MARS, IA 51031
Plymouth County (712) 546-7871
DR. STEVEN JOSEPH MEIS M.D.
Family Medicine
714 LINCOLN ST NE
LE MARS, IA 51031
Plymouth County (712) 546-3660
DR. SEAN SUTPHEN DO
Family Medicine
714 LINCOLN ST NE
LE MARS, IA 51031
Plymouth County (712) 546-3677
DR. HEIDI MILLER DO
Family Medicine
714 LINCOLN ST NE
LE MARS, IA 51031
Plymouth County (712) 546-7871
KAY LYNN KOSTERS PA-C
Physician Assistant (Medical)
714 LINCOLN ST NE
LE MARS, IA 51031
Plymouth County (712) 546-3650

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 Gary Tillman's NPI number?

The NPI number for Gary Tillman is 1417018276. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Gary Tillman located?

Gary Tillman practices at 714 Lincoln St NE, Le Mars, IA 51031. The listed phone number is (712) 546-3398.

What is Gary Tillman's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Gary Tillman enrolled in Medicare?

Yes. Gary Tillman 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 Gary Tillman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Tillman reassigns Medicare benefits to 4 organizations: Floyd Valley Healthcare (Le Mars, IA), Sioux Center Health (Sioux Center, IA), Greater Siouxland Anesthesiology & Pain Prof LLC (South Sioux City, NE) and Todd Luedeke PC (South Sioux City, NE). 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 Gary Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Tillman accept?

Health plans from Avera Health Plans and Wellmark Health Plan of Iowa, Inc. list Gary Tillman 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.

Is Gary Tillman affiliated with any hospitals?

According to CMS data, Gary Tillman is affiliated with Sioux Center Health and Floyd Valley Healthcare.

When was this NPI record last updated?

The NPPES record for Gary Tillman was last updated on November 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.