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JASON TANNER TSICHLIS MD
NPI 1649853029
Pediatrics in Lebanon, NH

Active since May 03, 2021PECOS Enrolled
1 MEDICAL CENTER DR, LEBANON, NH 03756(630) 605-5000(603) 640-1228 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jason Tanner Tsichlis Md NPPES

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

JASON TANNER TSICHLIS MD (NPI 1649853029) is an individual pediatrics provider in Lebanon, New Hampshire, licensed in New Hampshire (39410) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (2021).

NPPES Registry Identity

NPI1649853029
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJASON TANNER TSICHLISCredential: MD
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-1000
Mailing AddressPo Box 810Hanover, NH 03755-0810
Phone(630) 605-5000
Fax(603) 640-1228
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2021
Enumeration DateMay 3, 2021
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1649853029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NH · 39410
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 MEDICAL CENTER DR, Lebanon, NH 03756
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Tanner Tsichlis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072915123
PECOS Enrollment IDI20260720002975
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 Jason Tsichlis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Hitchcock Memorial Hospital
Same address
General Acute Care Hospital
1 MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
NPI 1629788237 (603) 650-5000
Dartmouth-Hitchcock Clinic
29 mi
Internal Medicine
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
NPI 1548210198 (603) 650-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

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. JANICE M BRENNAN APRN
Nurse Practitioner (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Grafton County (603) 560-5000
MS. SHELLEY GRACE BENSON R.PH.
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5417
ELIAS LOUKAS M.D.
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Grafton County (603) 650-8380
SARAH S SEO MD
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Grafton County (603) 650-8123
DR. SRINIVAS J. IVATURY MD
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Grafton County (603) 650-8113
TIMOTHY EARLEY D.O.
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (201) 694-0663
HANNAH ELIZABETH FOOTE BENSIMHON M.D.
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000
EMILE JOSEPH HASAN M.D.
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000

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 Jason Tsichlis's NPI number?

The NPI number for Jason Tsichlis is 1649853029. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Jason Tsichlis located?

Jason Tsichlis practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (630) 605-5000.

What is Jason Tsichlis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jason Tsichlis enrolled in Medicare?

Yes. Jason Tsichlis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Tsichlis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Tsichlis reassigns Medicare benefits to 2 organizations: Mary Hitchcock Memorial Hospital (Lebanon, NH) and Dartmouth-Hitchcock Clinic (Lebanon, NH). 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 Jason Tsichlis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Tsichlis accept?

Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Jason Tsichlis 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.

When was this NPI record last updated?

The NPPES record for Jason Tsichlis was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.