MR. GARY M TILLMAN (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1417018276

MR. GARY M TILLMAN (C.R.N.A.) is a healthcare provider. based in Le mars, Iowa. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials C.R.N.A.. They hold a License No. 050971 (IA). The NPI Number for MR. GARY M TILLMAN (C.R.N.A.) is 1417018276

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
MR. GARY M TILLMAN (C.R.N.A.)
NPI
1417018276
Phone
(712) 546-3398
Address
714 LINCOLN ST NE
Enumeration Date
13 December 2006
Last Update Date
17 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7127221271
Graduation Year
1982 (44 years ago)
PAC ID
1254496623
Group Practice PAC ID
9032027495
Professional Enrollment ID
I20090218000521
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA

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Provider Addresses for MR. GARY M TILLMAN (C.R.N.A.)

  • Floyd Valley Healthcare, 714, Lincoln Street Northeast, Erdmann Trailer Court, Le Mars, Plymouth County, Iowa, 51031, United States

    LE MARS, IA 510313314

    Phone: (712) 546-3398

    Fax: (712) 546-3352

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-08-08 • Largest payer in this snapshot: Medtronic, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$23
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: 2020-01-06

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
I20090218000521ICertified Registered Nurse Anesthetist (Crna)IATBD
I20200106000839ICertified Registered Nurse Anesthetist (Crna)NETBD

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
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level13399$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance6038$0
62323Injection of substance into lower spine canal using imaging guidance6052$0
64484Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level4433$0
20610Aspiration and/or injection of fluid from large joint2827$0
View full utilization report →

Insurance plans in this area (ZIP 51031)

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Provider's Procedures

MR. GARY M TILLMAN (C.R.N.A.) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIA62311Injections of substances into lower or sacral spine5337

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: 9032027495View full group profile
NameSpecialtyState
Family PracticeIA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)MN
Physician AssistantIA
Family PracticeIA
Family PracticeIA
Family PracticeIA
Clinical Social WorkerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What NPI should I save for MR. GARY M TILLMAN (C.R.N.A.)?
Save NPI 1417018276 if you need a stable reference for MR. GARY M TILLMAN (C.R.N.A.).
Does this profile mean MR. GARY M TILLMAN (C.R.N.A.) is currently active?
Yes — MR. GARY M TILLMAN (C.R.N.A.) appears active in the national provider directory.
What does MR. GARY M TILLMAN (C.R.N.A.) treat or focus on?
Patients typically see MR. GARY M TILLMAN (C.R.N.A.) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for MR. GARY M TILLMAN (C.R.N.A.)?
We surface Le Mars, Iowa for MR. GARY M TILLMAN (C.R.N.A.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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