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ASHLEY NICOLE TILLER PA-C
NPI 1700451499
Physician Assistant in Loris, SC

Active since May 25, 2021PECOS EnrolledAccepts Medicare Assignment
3109 CASEY ST, LORIS, SC 29569(843) 756-9292(843) 756-9260 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2022, May 2, 2022, Apr 28, 2022 and 2 more (5 updates tracked since 2021).

About Ashley Nicole Tiller Pa-c NPPES

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

ASHLEY NICOLE TILLER PA-C (NPI 1700451499) is an individual physician assistant in Loris, South Carolina, licensed in South Carolina (3826) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Mcleod Loris Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700451499
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY NICOLE TILLERCredential: PA-C
Location Address3109 CASEY STLoris, SC 29569-2807
Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 756-9292 · Fax (843) 756-9260
Phone(843) 756-9292
Fax(843) 756-9260
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 25, 2021
Last NPPES UpdateJune 6, 20225 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1700451499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 3826
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.
3109 CASEY ST, Loris, SC 29569
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Other Identifiers 1

Medicaid4646PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.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

Ashley Nicole Tiller Pa-c 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 ID9931509460
PECOS Enrollment IDI20210621001389
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 8

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.
296 services139 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services61 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services37 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
34 services33 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
23 services12 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29569 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
4 suppliers16 claims1,560 services$0.07 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$21.15 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers14 claims14 services$9.84 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers14 claims14 services$18.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

WANDA W GRAINGER FNP
Nurse Practitioner (Family)
3109 CASEY ST, SUITE A
LORIS, SC 29569
Horry County (843) 756-9292
MCLEOD PHYSICIAN ASSOCIATES II
Family Medicine
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-9292
SEASHORE PEDIATRICS
Pediatrics
3109 CASEY ST, BOX 669
LORIS, SC 29569
Horry County (843) 716-2229
MCLEOD PHYSICIAN ASSOCIATES II
Internal Medicine
3109 CASEY ST, SUITE B
LORIS, SC 29569
Horry County (843) 756-8090
MRS. DONNA C SELLERS FNP
Nurse Practitioner (Family)
3109 CASEY ST, SUITE A
LORIS, SC 29569
Horry County (843) 756-9292
MRS. ASHLEY SMITH WILSON P.A.
Physician Assistant
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-9292
DR. GARY JOSEPH BARRETT MD
Internal Medicine
3109 CASEY ST, SUITE B
LORIS, SC 29569
Horry County (843) 756-8090
GARY J BARRETT MD PA
Internal Medicine
3109 CASEY ST
LORIS, SC 29569
Horry County (843) 756-8090

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 Ashley Tiller's NPI number?

The NPI number for Ashley Tiller is 1700451499. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Ashley Tiller located?

Ashley Tiller practices at 3109 Casey St, Loris, SC 29569. The listed phone number is (843) 756-9292.

What is Ashley Tiller's specialty?

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

Is Ashley Tiller enrolled in Medicare?

Yes. Ashley Tiller 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 Ashley Tiller accept?

Health plans from BlueCross BlueShield of South Carolina and InStil Health list Ashley Tiller 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 Ashley Tiller affiliated with any hospitals?

According to CMS data, Ashley Tiller is affiliated with Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Tiller was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.