TYWAUN KRETRICA TILLMAN (MD) – Interventional Cardiology Physician, NPI 1710915012
Interventional Cardiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
780 INTERVENTIONAL CARDIOLOGY in TX
Provider Addresses for TYWAUN KRETRICA TILLMAN (MD)
2700 CITIZENS PLZ
SUITE 300
VICTORIA, TX 779015754
Phone: (361) 573-0756
Fax: (361) 573-0633
Type: Mailing
2700 Citizens Plz
Suite 300
Victoria, TX 779015754
Phone: (361) 573-0756
Fax: (361) 573-0633
Type: Location
38135 MARKET SQUARE DR
ZEPHYRHILLS, FL 335427505
Phone: (352) 567-0188
Fax: (813) 355-5101
Type: Mailing
4210 W LINEBAUGH AVE
TAMPA, FL 336245241
Phone: (813) 884-0923
Fax: (813) 377-1006
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $5,818.
Total Amount is formed as General ($5,818) + Research ($0) + Ownership ($0) = $5,818.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Penumbra, Inc. ($3,876).
Total Amount
$5,818
General + Research + Ownership
Payments
98
Total payment records
General Amount
$5,818
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $3,876 |
| Medtronic, Inc. | $664 |
| E.R. Squibb & Sons, L.L.C. | $411 |
| Abbott Laboratories | $411 |
| Novartis Pharmaceuticals Corporation | $116 |
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: 2008-02-19
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 |
|---|---|---|---|---|
| I20051129000188 | I | Interventional Cardiology | FL | TBD |
| I20080219000552 | I | Cardiovascular Disease (Cardiology) | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 413 | 345 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 377 | 364 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 345 | 218 | $0 |
| 93018 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 203 | 200 | $0 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 157 | 64 | $0 |
Insurance plans in this area (ZIP 77901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 37 | 34 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 347 | 230 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 46 | 45 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TX | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 102 | 100 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Diagnostic Radiology | FL | |
| Gastroenterology, Internal Medicine | IA | |
| Vascular Surgery, General Surgery | FL | |
| Family Practice | KY | |
| Nurse Practitioner | FL | |
| R H E U M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| P S Y C H I A T R Y | FL |
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