DR. EDWARD H TILLER (PHD) – Psychiatry Physician, NPI 1306806799

DR. EDWARD H TILLER (PHD) is a healthcare provider. based in Williamsburg, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 081000742 (VA). The NPI Number for DR. EDWARD H TILLER (PHD) is 1306806799

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD H TILLER (PHD)
NPI
1306806799
Phone
(757) 253-0371
Address
217 MCLAWS CIR
Enumeration Date
28 March 2006
Last Update Date
17 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7572530371
Graduation Year
1970 (56 years ago)
PAC ID
5597725408
Group Practice PAC ID
8426016684
Professional Enrollment ID
I20041014001115
Address ID
VA231855855WI217XXCIRX308
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

668 CLINICAL PSYCHOLOGIST in VA

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Provider Addresses for DR. EDWARD H TILLER (PHD)

  • Waterman Law Centers, PLLC, 217, McLaws Circle, Williamsburg, James City County, Virginia, 23185, United States

    SUITE 2

    WILLIAMSBURG, VA 231855855

    Phone: (757) 253-0371

    Fax: (757) 253-8063

    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: 2004-10-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20041014001115IClinical PsychologistVATBD

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
90837Psychotherapy, 1 hour45221$0
View full utilization report →

Insurance plans in this area (ZIP 23185)

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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: 8426016684View full group profile
NameSpecialtyState
Clinical PsychologistNM
Clinical PsychologistVA
Mental Health CounselorVA
Nurse PractitionerAZ
Mental Health CounselorVA
Clinical PsychologistVA
Clinical PsychologistVA
Mental Health CounselorVA
Mental Health CounselorVA

Reviews

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Frequently asked questions

Can I cross-check DR. EDWARD H TILLER (PHD) using NPI 1306806799?
NPI 1306806799 belongs to DR. EDWARD H TILLER (PHD); compare other details if you need extra assurance.
Is DR. EDWARD H TILLER (PHD) still an active registrant?
DR. EDWARD H TILLER (PHD) carries an active NPI according to the public dataset.
What kind of doctor is DR. EDWARD H TILLER (PHD)?
DR. EDWARD H TILLER (PHD) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Virginia is DR. EDWARD H TILLER (PHD) registered?
Use Williamsburg, Virginia as the headline location for DR. EDWARD H TILLER (PHD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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