Jonathan Till, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101040106 Issued in VA

Practice address

3090 Electric Rd
Suite B
Roanoke, VA 24018-3531

Phone

(540) 772-3978

Fax

(540) 400-0001

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Emory University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.77 of 100Reported as individual

Quality

80

Improvement activities

40

Cost

79.24

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Virginia Eye Center, PLLC

  • Ophthalmology Physician
  • Roanoke, VA
  • NPI 1861651507
  Medicare reassignment NPD Authorized official
• Daniel Kingsley O.D., P.C.

  • Optometrist
  • Farmville, VA
  • NPI 1407360134
  NPD (past)
• Harman Eye Center of Appomattox and Associates PLC

  • Optometrist
  • Appomattox, VA
  • NPI 1316020886
  NPD (past)
• Surgery Center of Central Virginia Inc.

  • Ambulatory Surgical Clinic/Center
  • Forest, VA
  • NPI 1215957816
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1497726475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45923",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975923",
            "telephone_number": "877-969-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 ELECTRIC RD",
            "address_2": "SUITE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183531",
            "telephone_number": "540-772-3978",
            "fax_number": "540-400-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Webster St",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245922429",
            "country_code": "US",
            "telephone_number": "434-572-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "356 Front St",
            "address_purpose": "LOCATION",
            "city": "Lovingston",
            "state": "VA",
            "postal_code": "22949",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 Langhorne Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011424",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 Old Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Appomattox",
            "state": "VA",
            "postal_code": "245229853",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245025751",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Ambriar Plaza",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "VA",
            "postal_code": "24521",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1835 Graves Mill Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245513967",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Graves Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245513967",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239011537",
            "country_code": "US",
            "telephone_number": "434-392-8113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2047 Hamilton Blvd",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245922141",
            "country_code": "US",
            "telephone_number": "434-572-9733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4244 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "VA",
            "postal_code": "240781935",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Memorial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245411680",
            "country_code": "US",
            "telephone_number": "434-799-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1049 Brookdale St Ste C",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241123972",
            "country_code": "US",
            "telephone_number": "434-385-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 7th St",
            "address_purpose": "LOCATION",
            "city": "Altavista",
            "state": "VA",
            "postal_code": "245171815",
            "country_code": "US",
            "telephone_number": "434-369-5092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILL",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101040106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006304427",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD LGP",
            "identifier": "P00356490",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00277134",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Thuesen, MS, ATC
• Gary Tickle
• Tamera M Tickle, RPH
• Tidewater Physical Therapy, LLC
• Megan Tiffany, RN
• Linda Garbacik Till, D.D.S.
• James Tillery III, BT
• Elizabeth Tilley
• Zachary Adam Tilley
• Cara Vita Tillotson, D.O.

• Ophthalmology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.