MR. GARY M TILLMAN (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1417018276
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Medtronic, Inc. | $23 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090218000521 | I | Certified Registered Nurse Anesthetist (Crna) | IA | TBD |
| I20200106000839 | I | Certified Registered Nurse Anesthetist (Crna) | NE | 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 |
|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 133 | 99 | $0 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 60 | 38 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 60 | 52 | $0 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 44 | 33 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 28 | 27 | $0 |
Insurance plans in this area (ZIP 51031)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | IA | 62311 | Injections of substances into lower or sacral spine | 53 | 37 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | NE | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Physician Assistant | IA | |
| Family Practice | IA | |
| Family Practice | IA | |
| Family Practice | IA | |
| Clinical Social Worker | IA | |
| Nurse Practitioner | IA |
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