ELBERT STINSON TILLERSON (MD) – Hospitalist Physician, NPI 1003872714

ELBERT STINSON TILLERSON (MD) is a healthcare provider. based in Jefferson city, Missouri. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 2011041481 (MO). The NPI Number for ELBERT STINSON TILLERSON (MD) is 1003872714

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ELBERT STINSON TILLERSON (MD)
NPI
1003872714
Phone
(573) 635-7651
Address
1125 MADISON ST.
Enumeration Date
21 April 2006
Last Update Date
15 January 2013

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
9133177000
Graduation Year
2001 (25 years ago)
PAC ID
8527089911
Group Practice PAC ID
3577476894
Professional Enrollment ID
I20221103001534
Address ID
KS662131324OV12300AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for ELBERT STINSON TILLERSON (MD)

  • Capital Region Medical Center, 1125, Madison Street, Jefferson City, Cole County, Missouri, 65101, United States

    JEFFERSON CITY, MO 651021128

    Phone: (573) 635-7651

    Fax: (573) 659-4515

    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)

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: 2022-11-03

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
I20120326000015IHospitalistMOTBD
I20221103001534IHospitalistKSTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes323137$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes254120$0
99239Hospital discharge day management, more than 30 minutes121119$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes105103$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes10360$0
View full utilization report →

Insurance plans in this area (ZIP 65102)

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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: 3577476894View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
Diagnostic RadiologyMO
Nurse PractitionerMO
Internal MedicineMO
Cardiovascular Disease (Cardiology)KS
Family PracticeMO
Hospitalist, Internal MedicineMO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO

Reviews

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Frequently asked questions

Does ELBERT STINSON TILLERSON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ELBERT STINSON TILLERSON (MD) uses 1003872714.
Does CMS list ELBERT STINSON TILLERSON (MD) as active?
Yes — ELBERT STINSON TILLERSON (MD) is active in the NPI listing used on this page.
What is ELBERT STINSON TILLERSON (MD) best known for clinically?
Directory data describes ELBERT STINSON TILLERSON (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where is ELBERT STINSON TILLERSON (MD) based?
ELBERT STINSON TILLERSON (MD) is tied to Jefferson City, Missouri in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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