EVAN TILLETT DO
NPI 1689240020
Internal Medicine in Grove City, OH

Active since May 27, 2021PECOS EnrolledAccepts Medicare Assignment
4191 KELNOR DR STE 300, GROVE CITY, OH 43123(614) 875-6349(614) 875-3633 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2025, Sep 17, 2025, Jun 18, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1689240020
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEVAN TILLETTCredential: DO
Location Address4191 KELNOR DR STE 300Grove City, OH 43123-3990
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Fax(614) 875-3633
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2021
Enumeration DateMay 27, 2021
Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1689240020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 34.018117
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 34.018117 (OH)
4191 KELNOR DR STE 300, Grove City, OH 43123

Accepted 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

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.

PECOS PAC ID2365845344
PECOS Enrollment IDI20250729004162
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.

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, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 11

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

Family Medicine
4191 KELNOR DR STE 300
GROVE CITY, OH 43123
Nurse Practitioner (Family)
4191 KELNOR DR STE 300
GROVE CITY, OH 43123
Family Medicine
4191 KELNOR DR STE 300
GROVE CITY, OH 43123
Nurse Practitioner (Family)
4191 KELNOR DR STE 300
GROVE CITY, OH 43123
Nurse Practitioner (Family)
4191 KELNOR DR STE 300
GROVE CITY, OH 43123
Nurse Practitioner (Family)
4191 KELNOR DR STE 300
GROVE CITY, OH 43123
Family Medicine
4191 KELNOR DR STE 300
GROVE CITY, OH 43123
Physician Assistant
4191 KELNOR DR STE 300
GROVE CITY, OH 43123

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.

What insurance does Evan Tillett accept?

Health plans from CareSource 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 with the weekly NPPES data releases published by CMS.