STEPHEN TILEY (D.O.) – Hematology & Oncology Physician, NPI 1245425966

STEPHEN TILEY (D.O.) is a healthcare provider. based in Vidalia, Georgia. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials D.O.. They hold a License No. 83373 (SC). The NPI Number for STEPHEN TILEY (D.O.) is 1245425966

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN TILEY (D.O.)
NPI
1245425966
Phone
(912) 538-7777
Address
1 MEADOWS PKWY
Enumeration Date
6 September 2007
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9126922000
Graduation Year
2007 (19 years ago)
PAC ID
3375784671
Group Practice PAC ID
0042569758
Professional Enrollment ID
I20130730000218
Address ID
GA314046220SA4700XAVEX321
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

348 HEMATOLOGY/ONCOLOGY in GA

Provider Addresses for STEPHEN TILEY (D.O.)

  • 1 MEADOWS PKWY

    VIDALIA, GA 304748759

    Phone: (912) 538-7777

    Fax: (912) 538-7070

    Type: Mailing

  • 955 RIBAUT RD

    BEAUFORT, SC 299025454

    Phone: (843) 522-7843

    Fax: (843) 522-5945

    Type: Mailing

  • 122 OKATIE CENTER BLVD N STE 110

    OKATIE, SC 299093782

    Phone: (843) 522-7350

    Fax: (844) 296-2296

    Type: Location

  • 4700 WATERS AVE STE 201

    SAVANNAH, GA 314046220

    Phone: (912) 692-2000

    Fax: (912) 692-2100

    Type: Location

  • PO BOX 749495

    ATLANTA, GA 303749495

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $296.

Total Amount is formed as General ($296) + Research ($0) + Ownership ($0) = $296.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($58).

Total Amount

$296

General + Research + Ownership

Payments

15

Total payment records

General Amount

$296

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130730000218IHematology/OncologyGATBD
I20201113001302IHematology/OncologySCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes540218$0
99213Established patient office or other outpatient visit, 20-29 minutes296208$0
99215Established patient office or other outpatient visit, 40-54 minutes15989$0
99204New patient office or other outpatient visit, 45-59 minutes5151$0
99212Established patient office or other outpatient visit, 10-19 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 30474)

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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: 0042569758View full group profile
NameSpecialtyState
Nurse PractitionerIN
H E M A T O L O G Y/ O N C O L O G YDE
Nurse PractitionerNC
Nurse PractitionerFL
P A T H O L O G YFL
Nurse PractitionerKS
-MO
Nurse PractitionerMD
-GA
-FL

Reviews

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Frequently asked questions

What NPI should I save for STEPHEN TILEY (D.O.)?
Save NPI 1245425966 if you need a stable reference for STEPHEN TILEY (D.O.).
Is STEPHEN TILEY (D.O.)'s NPI currently valid?
The extract we use shows STEPHEN TILEY (D.O.) as active.
What field does STEPHEN TILEY (D.O.) work in?
You can think of STEPHEN TILEY (D.O.) as practicing within Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is STEPHEN TILEY (D.O.)'s primary listing?
We display Vidalia, Georgia because that is what the record indicates for STEPHEN TILEY (D.O.).
Is STEPHEN TILEY (D.O.) a real provider?
This page reflects official NPPES data for NPI 1245425966. Always confirm identity and privileges with the practice and licensing boards.

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