DR. STEVEN C TILLMAN (O.D.) – Optometrist, NPI 1417947458

DR. STEVEN C TILLMAN (O.D.) is a healthcare provider. based in Westminster, Colorado. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2012 (CO). The NPI Number for DR. STEVEN C TILLMAN (O.D.) is 1417947458

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEVEN C TILLMAN (O.D.)
NPI
1417947458
Phone
(303) 338-4545
Address
11245 HURON ST
Enumeration Date
21 October 2005
Last Update Date
28 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3033384545
Graduation Year
1986 (40 years ago)
PAC ID
9638261019
Group Practice PAC ID
1254238454
Professional Enrollment ID
I20070816000009
Address ID
CO802471314DE10350CXXX501

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

851 OPTOMETRY in CO

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Provider Addresses for DR. STEVEN C TILLMAN (O.D.)

  • Kaiser Permanente, 11245, Huron Street, Westminster, Adams County, Colorado, 80234, United States

    WESTMINSTER, CO 802342806

    Phone: (303) 338-4545

    Type: Mailing

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    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: 2007-08-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070816000009IOptometryCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80234)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254238454View full group profile
NameSpecialtyState
Nurse PractitionerCO
-CO
Physical Therapist In Private PracticeCO
-CO
-CO
-CO
Cardiovascular Disease (Cardiology)CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Family PracticeCO

Reviews

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Frequently asked questions

What unique ID ties claims to DR. STEVEN C TILLMAN (O.D.)?
NPI 1417947458 is assigned to DR. STEVEN C TILLMAN (O.D.) under the national enumeration system.
Is DR. STEVEN C TILLMAN (O.D.)'s NPI currently valid?
The extract we use shows DR. STEVEN C TILLMAN (O.D.) as active.
Does DR. STEVEN C TILLMAN (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for DR. STEVEN C TILLMAN (O.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. STEVEN C TILLMAN (O.D.)?
The snapshot lists Westminster, Colorado for DR. STEVEN C TILLMAN (O.D.); download NPPES for the complete set.
How can I contact DR. STEVEN C TILLMAN (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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