MR. COREY ROBERT TILLER (PA) – Physician Assistant, NPI 1982122776

MR. COREY ROBERT TILLER (PA) is a healthcare provider. based in Chino hills, California. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 54880 (CA). The NPI Number for MR. COREY ROBERT TILLER (PA) is 1982122776

Main info

Male
Sole Proprietor
Name
MR. COREY ROBERT TILLER (PA)
NPI
1982122776
Phone
(909) 263-3672
Address
1737 WALNUT CREEK DR
Enumeration Date
1 September 2017
Last Update Date
21 July 2022

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MR. COREY ROBERT TILLER (PA)

  • 1737, Walnut Creek Drive, Chino Hills, San Bernardino County, California, 91709, United States

    CHINO HILLS, CA 917094827

    Phone: (909) 263-3672

    Type: Mailing

  • 14417 BADGER LN

    EASTVALE, CA 928801093

    Phone: (909) 263-3672

    Type: Mailing

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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-06-07 • Largest payer in this snapshot: Xeris Pharmaceuticals, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-07

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: 2017-11-27

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
I20171127001468IPhysician AssistantCATBD

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
99284Emergency department visit with moderate level of medical decision making6057$0
99285Emergency department visit with high level of medical decision making5755$0
71045X-ray of chest, 1 view3029$0
View full utilization report →

Insurance plans in this area (ZIP 91709)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. COREY ROBERT TILLER (PA)'s NPI?
Yes. MR. COREY ROBERT TILLER (PA) is listed with NPI 1982122776 in the public NPI dataset.
Can I rely on MR. COREY ROBERT TILLER (PA) being an active provider?
As of the registry snapshot, MR. COREY ROBERT TILLER (PA) is marked active.
What is MR. COREY ROBERT TILLER (PA)'s primary classification?
Physician Assistant is the headline specialty for MR. COREY ROBERT TILLER (PA) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. COREY ROBERT TILLER (PA) on a map?
Expect Chino Hills, California as a primary anchor for MR. COREY ROBERT TILLER (PA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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