BRENT JUSTIN TILSETH M.D.
NPI 1770905085
Radiology - Diagnostic Radiology in Jacksonville, FL

Active since January 07, 2014PECOS EnrolledAccepts Medicare Assignment
2080 CHILD ST, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 28, 2023, May 12, 2020 (2 updates tracked since 2020).

About Brent Justin Tilseth M.d. NPPES

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

BRENT JUSTIN TILSETH M.D. (NPI 1770905085) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME142293) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1770905085
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameBRENT JUSTIN TILSETHCredential: M.D.
Location Address2080 CHILD STJacksonville, FL 32214-5005
Mailing Address5000 Us Highway 17 Ste 18-200Fleming Island, FL 32003-8231
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 7, 2014
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1770905085 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 FL · ME142293
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2080 CHILD ST, Jacksonville, FL 32214

Secondary Practice Location 1

Location 152 W Underwood StOrlando, FL 32806-1110 · Phone (321) 842-8475

Other Identifiers 4

OtherO9423FL · Medicare Ptan Ohri
OtherXAEAAFL · Bcbs
OtherPS650FL · Medicare Ptan Ohmg
Medicaid112609100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Brent Justin Tilseth M.d. 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 ID6305272972
PECOS Enrollment IDI20200130002690
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brent Tilseth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology
303 W 1ST ST
Sanford, FL 32771
  • Reassigned Medicare billing, Florida enrollment
  • 269 clinicians in this Medicare group
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
Surgery
1600 ESPLANADE, SUITE C
Chico, CA 95926
  • Reassigned Medicare billing, Florida enrollment
  • 7 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.

Areas of Expertise CMS Part B claims 38

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,170 services13 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
591 services562 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
279 services276 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
118 services117 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
105 services105 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
87 services87 patients

Hospital Affiliations CMS Care Compare 5

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Orlando Health Bayfront Hospital

Acute Care Hospitals · Saint Petersburg, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100032
Location701 6th St SSaint Petersburg, FL 33701 · Pinellas County
Emergency services Birthing friendly

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100291
Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32214 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214

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 Brent Tilseth's NPI number?

The NPI number for Brent Tilseth is 1770905085. It was assigned to this individual provider in the NPPES registry on January 7, 2014.

Where is Brent Tilseth located?

Brent Tilseth practices at 2080 Child St, Jacksonville, FL 32214. The listed phone number is (904) 542-7300.

What is Brent Tilseth's specialty?

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

Is Brent Tilseth enrolled in Medicare?

Yes. Brent Tilseth 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 organizations bill Medicare for Brent Tilseth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Tilseth reassigns Medicare benefits to 3 organizations: Ohri, LLC (Sanford, FL), Orlando Health Medical Group Inc (Orlando, FL) and Enloe Medical Center (Chico, CA). Each 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 Brent Tilseth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brent Tilseth affiliated with any hospitals?

According to CMS data, Brent Tilseth is affiliated with Orlando Health, Orlando Health-Health Central Hospital, Orlando Health Bayfront Hospital, Orlando Health South Lake Hospital and Melbourne Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Brent Tilseth was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.