WILLIAM TIMOTHY GANNON (M.D.) – Ophthalmology Physician, NPI 1275978850

WILLIAM TIMOTHY GANNON (M.D.) is a healthcare provider. based in Dothan, Alabama. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 33498 (AL). The NPI Number for WILLIAM TIMOTHY GANNON (M.D.) is 1275978850

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM TIMOTHY GANNON (M.D.)
NPI
1275978850
Phone
(334) 699-2244
Address
2664 HARTFORD HWY
Enumeration Date
8 May 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
8504824550
Graduation Year
2013 (13 years ago)
PAC ID
6901030261
Group Practice PAC ID
5597814525
Professional Enrollment ID
I20171102000865
Address ID
FL324463448MA2922XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

250 OPHTHALMOLOGY in AL

Provider Addresses for WILLIAM TIMOTHY GANNON (M.D.)

  • 2664 HARTFORD HWY

    DOTHAN, AL 363054904

    Phone: (334) 699-2244

    Fax: (334) 699-2245

    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 10 Open Payments records for all available years, with a total value of $229.

Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($108).

Total Amount

$229

General + Research + Ownership

Payments

10

Total payment records

General Amount

$229

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2017-11-02

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
I20170914004101IOphthalmologyALTBD
I20171102000865IOphthalmologyFLTBD

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
92136Measurement of corneal curvature and depth of eye465283$0
99214Established patient office or other outpatient visit, 30-39 minutes454408$0
66984Removal of cataract with insertion of prosthetic lens449261$0
99204New patient office or other outpatient visit, 45-59 minutes278278$0
92025Ct scan of cornea217214$0
View full utilization report →

Insurance plans in this area (ZIP 36305)

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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: 5597814525View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for WILLIAM TIMOTHY GANNON (M.D.)?
WILLIAM TIMOTHY GANNON (M.D.) — NPI 1275978850 — is the standard way to identify this listing.
Can I rely on WILLIAM TIMOTHY GANNON (M.D.) being an active provider?
As of the registry snapshot, WILLIAM TIMOTHY GANNON (M.D.) is marked active.
What taxonomy line describes WILLIAM TIMOTHY GANNON (M.D.)?
For research purposes, treat WILLIAM TIMOTHY GANNON (M.D.) as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for WILLIAM TIMOTHY GANNON (M.D.)?
WILLIAM TIMOTHY GANNON (M.D.)'s geographic hint is Dothan, Alabama in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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