MR. CHARLES R TILLEY JR.
NPI 1467502286
Physician Assistant in Le Mars, IA

Q: What is Charles Tilley's NPI number?

The NPI number for Charles Tilley is 1467502286. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Charles Tilley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Tilley was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment

180 10TH ST SE STE 201, LE MARS, IA 51031(712) 546-4624(712) 546-9395 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Charles R Tilley Jr. NPPES

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

MR. CHARLES R TILLEY JR. (NPI 1467502286) is an individual physician assistant in Le Mars, Iowa, licensed in Iowa (001775) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Lakes Regional Healthcare, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2006).

NPPES Registry Identity

NPI1467502286

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. CHARLES R TILLEY JR.

Location Address180 10TH ST SE STE 201Le Mars, IA 51031-2557

Mailing AddressPo Box 70Le Mars, IA 51031-0070 · (712) 546-4624 · Fax (712) 546-9395

Phone(712) 546-4624

Fax(712) 546-9395

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2006

Enumeration DateJanuary 12, 2007

Last NPPES UpdateOctober 19, 2022

NPPES CertifiedOctober 19, 2022

✔ NPI 1467502286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IA · 001775✔ Licensed in NE · 1409

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

180 10TH ST SE STE 201, Le Mars, IA 51031

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Mr. Charles R Tilley Jr. 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 ID1557363199

PECOS Enrollment IDI20070209000497

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

238 services110 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

135 services72 patients

Telehealth originating site facility fee Q3014

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

122 services65 patients

Hospital Affiliations CMS Care Compare 3

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

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160124

Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County

Emergency services Birthing friendly

Cherokee Regional Medical Center

Critical Access Hospitals · Cherokee, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161362

Location300 Sioux Valley DriveCherokee, IA 51012 · Cherokee County

Emergency services Birthing friendly

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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

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.

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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.

DR. JACOB JERRY JACKSON PHD, LMHC, CADC

Counselor (Mental Health)