DR. BRENDON G TILLMAN M.D.
NPI 1760619688
Radiology - Diagnostic Radiology in Columbus, OH

Active since June 18, 2009PECOS Enrolled
395 W 12TH AVE FL 4, COLUMBUS, OH 43210(614) 366-0768 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2025, Aug 25, 2022 (2 updates tracked since 2022).

About Dr. Brendon G Tillman M.d. NPPES

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

DR. BRENDON G TILLMAN M.D. (NPI 1760619688) is an individual diagnostic radiology provider in Columbus, Ohio, licensed in Ohio (35.095671) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760619688
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. BRENDON G TILLMANCredential: M.D.
Location Address395 W 12TH AVE FL 4Columbus, OH 43210-1267
Mailing Address395 W 12th Ave Fl 4Columbus, OH 43210-1267 · (614) 366-0768
Sole ProprietorNo
Enumeration DateJune 18, 2009
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
NPI 1760619688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in OH · 35.095671
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
395 W 12TH AVE FL 4, Columbus, OH 43210

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. Brendon G Tillman M.d. 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 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Radiology (Neuroradiology)
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Radiology (Vascular & Interventional Radiology)
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE FL 4
COLUMBUS, OH 43210
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 4
COLUMBUS, OH 43210

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 Brendon Tillman's NPI number?

The NPI number for Brendon Tillman is 1760619688. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Brendon Tillman located?

Brendon Tillman practices at 395 W 12th Ave Fl 4, Columbus, OH 43210. The listed phone number is (614) 366-0768.

What is Brendon Tillman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Brendon Tillman enrolled in Medicare?

Yes. Brendon Tillman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brendon Tillman was last updated on July 3, 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.