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DR. STEPHANIE TILL DDS
NPI 1659975084
Dentist - Periodontics in Kingsport, TN

Active since November 25, 2020PECOS Enrolled
150 CLINIC DR STE 1, KINGSPORT, TN 37663(423) 722-8833 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 13, 2025, Sep 20, 2022, Nov 25, 2020 (3 updates tracked since 2020).

About Dr. Stephanie Till Dds NPPES

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

DR. STEPHANIE TILL DDS (NPI 1659975084) is an individual periodontics provider in Kingsport, Tennessee, licensed in Tennessee (12143) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659975084
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. STEPHANIE TILLCredential: DDS
Location Address150 CLINIC DR STE 1Kingsport, TN 37663-2254
Mailing Address150 Clinic Dr Ste 1Kingsport, TN 37663-2254 · (423) 722-8833
Phone(423) 722-8833
Sole ProprietorNo
Enumeration DateNovember 25, 2020
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1659975084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in TN · 12143✔ Licensed in VA · 0401416685
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
150 CLINIC DR STE 1, Kingsport, TN 37663
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Till Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37663 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Stephanie Till's NPI number?

The NPI number for Stephanie Till is 1659975084. It was assigned to this individual provider in the NPPES registry on November 25, 2020.

Where is Stephanie Till located?

Stephanie Till practices at 150 Clinic Dr Ste 1, Kingsport, TN 37663. The listed phone number is (423) 722-8833.

What is Stephanie Till's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Stephanie Till enrolled in Medicare?

Yes. Stephanie Till is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Till was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.