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DR. DERYUS TILLMAN DNP, NP-C
NPI 1821742594
Nurse Practitioner - Family in Opelika, AL

Active since February 10, 2022PECOS EnrolledAccepts Medicare Assignment
2564 ENTERPRISE DR, OPELIKA, AL 36801(205) 848-2273 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2025, Jan 8, 2025, Feb 10, 2022 (3 updates tracked since 2022).

About Dr. Deryus Tillman Dnp, Np-c NPPES

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

DR. DERYUS TILLMAN DNP, NP-C (NPI 1821742594) is an individual family provider in Opelika, Alabama, licensed in Alabama (1-197726) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821742594
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. DERYUS TILLMANCredential: DNP, NP-C
Location Address2564 ENTERPRISE DROpelika, AL 36801-6860
Mailing Address48 Willow Trace DrPhenix City, AL 36869-7105 · (706) 799-3906
Phone(205) 848-2273
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 10, 2022
Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1821742594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AL · 1-197726✔ Licensed in GA · GAA-NP003150
2564 ENTERPRISE DR, Opelika, AL 36801
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Dr. Deryus Tillman Dnp, Np-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 ID2668850967
PECOS Enrollment IDI20220527000111, I20221201002513
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
248 services34 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
115 services58 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
75 services74 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.
53 services51 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
52 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 2

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

MRS. REBEKAH FILSON ANP-BC
Nurse Practitioner (Adult Health)
2564 ENTERPRISE DR
OPELIKA, AL 36801
Lee County (334) 933-6824
UNIVERSITY URGENT ORTHO PC
Clinic/Center (Urgent Care)
2564 ENTERPRISE DR
OPELIKA, AL 36801
Lee County (334) 399-9921

Frequently Asked Questions

What is Deryus Tillman's NPI number?

The NPI number assigned to this healthcare provider is 1821742594, enumerated as an "individual" on February 10, 2022.

Where is the provider located?

The provider is located at 2564 ENTERPRISE DR OPELIKA, AL 36801 and the phone number is (205) 848-2273.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

What insurance does Deryus Tillman accept?

The provider might be accepting Accepts: Ambetter from Magnolia Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.