GLENNDA TILLER D.O.
NPI 1992245120
Family Medicine in Tulsa, OK
About Glennda Tiller D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENNDA TILLER D.O. (NPI 1992245120) is an individual family medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (6509) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Glennda Tiller D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Glennda Tiller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tulsa, OK 74107
- Reassigned Medicare billing, Oklahoma enrollment
- 171 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hillcrest Medical Center
Acute Care Hospitals · Tulsa, OKOklahoma State University Medical Center
Acute Care Hospitals · Tulsa, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TULSA, OK 74107
TULSA, OK 74107
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 Glennda Tiller's NPI number?
The NPI number for Glennda Tiller is 1992245120. It was assigned to this individual provider in the NPPES registry on March 7, 2017.
Where is Glennda Tiller located?
Glennda Tiller practices at 2345 Southwest Blvd, Tulsa, OK 74107. The listed phone number is (918) 582-1980.
What is Glennda Tiller's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Glennda Tiller enrolled in Medicare?
Yes. Glennda 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.
Which organization bills Medicare for Glennda Tiller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glennda Tiller reassigns Medicare benefits to Oklahoma State University (Tulsa, OK). The 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 Glennda Tiller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glennda Tiller accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Glennda 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 Glennda Tiller affiliated with any hospitals?
According to CMS data, Glennda Tiller is affiliated with Hillcrest Medical Center and Oklahoma State University Medical Center.
When was this NPI record last updated?
The NPPES record for Glennda Tiller was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Glennda Tiller, D.O. · NPI 1992245120
Family Medicine physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since March 7, 2017.
## Identity
- **NPI:** 1992245120 (Entity type: Individual)
- **Enumerated:** March 7, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 6509 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 2345 SOUTHWEST BLVD, Tulsa, OK 74107-2705
- **Phone:** (918) 582-1980 · **Fax:** (918) 561-1289
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Oklahoma State University (NPI 1306882261, Tulsa, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 2017
## Record status
- **NPPES last updated:** August 4, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1992245120) · Data from the CMS NPPES public registry.