DR. JOHN DAVID TILLOU (MD) – Colon & Rectal Surgery Physician, NPI 1518232685

DR. JOHN DAVID TILLOU (MD) is a healthcare provider. based in Fairfax, Virginia. specializing in COLORECTAL SURGERY (PROCTOLOGY). They hold the professional credentials MD. They hold a License No. 252747 (MA). The NPI Number for DR. JOHN DAVID TILLOU (MD) is 1518232685

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN DAVID TILLOU (MD)
NPI
1518232685
Phone
Not provided
Address
2710 PROSPERITY AVE
Enumeration Date
21 March 2012
Last Update Date
25 March 2019

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
7032802841
Graduation Year
2012 (14 years ago)
PAC ID
2466700265
Group Practice PAC ID
4385628411
Professional Enrollment ID
I20180810001973
Address ID
VA220314358FA2710XAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

68 COLORECTAL SURGERY (PROCTOLOGY) in VA

Provider Addresses for DR. JOHN DAVID TILLOU (MD)

  • 2710 PROSPERITY AVE

    STE 200

    FAIRFAX, VA 220314358

    Phone:

    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 2 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($130).

Total Amount

$138

General + Research + Ownership

Payments

2

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-05-02

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
I20180810001973IColorectal Surgery (Proctology)DCTBD
I20190502001130IColorectal Surgery (Proctology)VATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6143$0
46600Diagnostic exam of anus using an endoscope5848$0
99204New patient office or other outpatient visit, 45-59 minutes5656$0
99215Established patient office or other outpatient visit, 40-54 minutes4833$0
46221Removal of external hemorrhoids by rubber banding3625$0
View full utilization report →

Insurance plans in this area (ZIP 22031)

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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: 4385628411View full group profile
NameSpecialtyState
Colorectal Surgery (Proctology), General SurgeryVA
-VA
Physician AssistantVA
Nurse PractitionerUT
Physician AssistantVA
Colorectal Surgery (Proctology), General SurgeryVA
General Surgery, Colorectal Surgery (Proctology)VA
Colorectal Surgery (Proctology), General SurgeryVA
General Surgery, Colorectal Surgery (Proctology)VA
General Surgery, Colorectal Surgery (Proctology)DC

Reviews

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Frequently asked questions

How do I look up DR. JOHN DAVID TILLOU (MD) by NPI?
Use NPI 1518232685 when you need to reference DR. JOHN DAVID TILLOU (MD) in forms, claims, or directories.
Is DR. JOHN DAVID TILLOU (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. JOHN DAVID TILLOU (MD) work in?
You can think of DR. JOHN DAVID TILLOU (MD) as practicing within Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHN DAVID TILLOU (MD) practice in Virginia?
You will see Fairfax, Virginia on file for DR. JOHN DAVID TILLOU (MD) alongside any extra practice locations.
Is DR. JOHN DAVID TILLOU (MD) a real provider?
This page reflects official NPPES data for NPI 1518232685. Always confirm identity and privileges with the practice and licensing boards.

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