MR. GLENN W TILLERY (MD) – Anesthesiology Physician, NPI 1154394419
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
633 ANESTHESIOLOGY in AL
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Provider Addresses for MR. GLENN W TILLERY (MD)
721, Madison Street, Medical District, Longwood, Huntsville, Madison County, Alabama, 35801, United States
HUNTSVILLE, AL 35801
Phone: (256) 533-4888
Type: Location
PO BOX 288
HUNTSVILLE, AL 35804
Phone: (256) 880-6711
Fax: (256) 880-6712
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111111000440 | I | Anesthesiology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 345 | 326 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 202 | 199 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 64 | 63 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 56 | 56 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 56 | 54 | $0 |
Insurance plans in this area (ZIP 35801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | AL | |
| - | AL | |
| - | AL | |
| Anesthesiology Assistant | FL | |
| A N E S T H E S I O L O G Y | AL | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Anesthesiology, Pain Management | LA | |
| - | AL | |
| - | AL | |
| Anesthesiology Assistant | WI |
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