TIMOTHY HUGH GANNON (MD) – Specialist, NPI 1083676852
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 OTOLARYNGOLOGY in AL
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Provider Addresses for TIMOTHY HUGH GANNON (MD)
4300, West Main Street, Brannon Stand Heights, Brannon Stand, Dothan, Houston County, Alabama, 36305, United States
SUITE 403
DOTHAN, AL 363051054
Phone: (334) 793-4788
Fax: (334) 793-1561
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 18 Open Payments records for all available years, with a total value of $439.
Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($84).
Total Amount
$439
General + Research + Ownership
Payments
18
Total payment records
General Amount
$439
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-01-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110112000247 | I | Otolaryngology | AL | 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 | 274 | 192 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 237 | 237 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 226 | 161 | $0 |
| 69210 | Removal of impacted ear wax | 213 | 150 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 116 | 116 | $0 |
Insurance plans in this area (ZIP 36305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | AL | |
| A L L E R G Y/ I M M U N O L O G Y | AL | |
| Nurse Practitioner | AL | |
| Physical Therapist In Private Practice | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| O T O L A R Y N G O L O G Y | AL | |
| Qualified Audiologist | AL | |
| - | AL |
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