TIMOTHY JUSTIN OSBORNE (M.D.) – Emergency Medicine Physician, NPI 1508090366

TIMOTHY JUSTIN OSBORNE (M.D.) is a healthcare provider. based in Birmingham, Alabama. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 8325558 (AL). The NPI Number for TIMOTHY JUSTIN OSBORNE (M.D.) is 1508090366

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY JUSTIN OSBORNE (M.D.)
NPI
1508090366
Phone
(205) 934-4794
Address
619 19th St S
Enumeration Date
8 May 2009
Last Update Date
15 May 2021

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9122833030
Graduation Year
2009 (17 years ago)
PAC ID
1456547850
Group Practice PAC ID
5193620714
Professional Enrollment ID
I20120906000744
Address ID
GA315016357WA1900XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

702 EMERGENCY MEDICINE in AL

Provider Addresses for TIMOTHY JUSTIN OSBORNE (M.D.)

  • 619 19th St S

    Birmingham, AL 352491900

    Phone: (205) 934-4794

    Type: Location

  • 303 HARRIS INDUSTRIAL BLVD STE 5

    VIDALIA, GA 304748854

    Phone: (912) 535-7000

    Fax: (912) 535-7020

    Type: Location

  • 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352491900

    Phone: (205) 934-4794

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-09-06

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
I20120906000744IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making234219$0
99284Emergency department visit with moderate level of medical decision making114112$0
99291Critical care, first 30-74 minutes4745$0
99283Emergency department visit with low level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 35249)

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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: 5193620714View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to TIMOTHY JUSTIN OSBORNE (M.D.)?
NPI 1508090366 is assigned to TIMOTHY JUSTIN OSBORNE (M.D.) under the national enumeration system.
Is TIMOTHY JUSTIN OSBORNE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does TIMOTHY JUSTIN OSBORNE (M.D.) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for TIMOTHY JUSTIN OSBORNE (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for TIMOTHY JUSTIN OSBORNE (M.D.)?
The page summarizes Birmingham, Alabama for TIMOTHY JUSTIN OSBORNE (M.D.); expand the address list for detail.
What if Birmingham, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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