EVAN TILLETT DO
NPI 1689240020
Internal Medicine in Grove City, OH
About Evan Tillett Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN TILLETT DO (NPI 1689240020) is an individual internal medicine provider in Grove City, Ohio, licensed in Ohio (34.018117) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Evan Tillett Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Evan Tillett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHGrant Medical Center
Acute Care Hospitals · Columbus, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Evan Tillett's NPI number?
The NPI number for Evan Tillett is 1689240020. It was assigned to this individual provider in the NPPES registry on May 27, 2021.
Where is Evan Tillett located?
Evan Tillett practices at 4191 Kelnor Dr Ste 300, Grove City, OH 43123. The listed phone number is (614) 875-6349.
What is Evan Tillett's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Evan Tillett enrolled in Medicare?
Yes. Evan Tillett 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 organization bills Medicare for Evan Tillett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Tillett reassigns Medicare benefits to Ohiohealth Corporation (Columbus, OH). The 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 Evan Tillett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evan Tillett accept?
Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Evan Tillett 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 Evan Tillett affiliated with any hospitals?
According to CMS data, Evan Tillett is affiliated with Riverside Methodist Hospital and Grant Medical Center.
When was this NPI record last updated?
The NPPES record for Evan Tillett was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Evan Tillett, DO · NPI 1689240020
Internal Medicine physician in Grove City, Ohio. Individual provider, active in the CMS NPPES registry since May 27, 2021.
## Identity
- **NPI:** 1689240020 (Entity type: Individual)
- **Enumerated:** May 27, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 34.018117 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 4191 KELNOR DR STE 300, Grove City, OH 43123-3990
- **Phone:** (614) 875-6349 · **Fax:** (614) 875-3633
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ohiohealth Corporation (NPI 1407292105, Columbus, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio University, College Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** November 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689240020) · Data from the CMS NPPES public registry.