MICHAEL C TILLER (D.O.) – Emergency Medicine Physician, NPI 1114345378

MICHAEL C TILLER (D.O.) is a healthcare provider. based in Toledo, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 04886 (KY). The NPI Number for MICHAEL C TILLER (D.O.) is 1114345378

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL C TILLER (D.O.)
NPI
1114345378
Phone
(419) 407-2663
Address
3404 W Sylvania Ave
Enumeration Date
3 April 2014
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8449331911
Graduation Year
2014 (12 years ago)
PAC ID
5597046573
Group Practice PAC ID
9133516743
Professional Enrollment ID
I20241205001196
Address ID
AZ850341908PH4600XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:12State licenses:3Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for MICHAEL C TILLER (D.O.)

  • 3404 W Sylvania Ave

    Toledo, OH 436234467

    Phone: (419) 407-2663

    Type: Location

  • 272 Benedict Ave

    Norwalk, OH 448572374

    Phone: (419) 668-8101

    Type: Location

  • 615 Fulton St

    Port Clinton, OH 434522001

    Phone: (419) 734-3131

    Type: Location

  • 650 STEWART RD

    MONROE, MI 481624222

    Phone: (734) 240-8430

    Fax: (734) 240-8495

    Type: Mailing

  • 1250 S Washington St

    Van Wert, OH 458912551

    Phone: (419) 238-2390

    Type: Location

  • 2600 Navarre Ave

    Oregon, OH 436163207

    Phone: (419) 696-7411

    Type: Location

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 $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: CSL Behring ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$27
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: 2024-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20170105002058IEmergency MedicineMITBD
I20191015001551IEmergency MedicineOHTBD
I20210415002603IEmergency MedicineFLTBD
I20240322001311IEmergency MedicineKYTBD
I20240827003187IEmergency MedicineCATBD
I20241205001196IEmergency MedicineAZTBD

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
99285Emergency department visit with high level of medical decision making185176$0
99284Emergency department visit with moderate level of medical decision making7877$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4036$0
99283Emergency department visit with low level of medical decision making1616$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 43623)

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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: 9133516743View full group profile
NameSpecialtyState
Emergency MedicineTN
Emergency MedicineFL
Emergency MedicineTX
Emergency MedicineNC
Emergency MedicineNY
Emergency MedicineKY
Emergency MedicineKY
Family PracticeNY
Emergency MedicineFL
Emergency MedicineOH

Reviews

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Frequently asked questions

How is MICHAEL C TILLER (D.O.) identified in CMS data?
CMS-hosted NPPES data lists MICHAEL C TILLER (D.O.) with NPI 1114345378.
Can I rely on MICHAEL C TILLER (D.O.) being an active provider?
As of the registry snapshot, MICHAEL C TILLER (D.O.) is marked active.
What is MICHAEL C TILLER (D.O.)'s primary classification?
Emergency Medicine Physician is the headline specialty for MICHAEL C TILLER (D.O.) here. Clinical services aligned with this taxonomy classification.
What area does MICHAEL C TILLER (D.O.) serve?
MICHAEL C TILLER (D.O.)'s listing highlights Toledo, Ohio; more addresses can appear in NPPES.
Why does MICHAEL C TILLER (D.O.) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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