TIMOTHY GRANT MCNAUGHTON (M.D) – General Practice Physician, NPI 1124062039

TIMOTHY GRANT MCNAUGHTON (M.D) is a healthcare provider. based in Emeryville, California. specializing in GENERAL PRACTICE. They hold the professional credentials M.D. They hold a License No. A78159 (CA). The NPI Number for TIMOTHY GRANT MCNAUGHTON (M.D) is 1124062039

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY GRANT MCNAUGHTON (M.D)
NPI
1124062039
Phone
(510) 350-2600
Address
2100 POWELL STREET
Enumeration Date
15 June 2006
Last Update Date
19 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
9094354852
Graduation Year
2000 (26 years ago)
PAC ID
1759334014
Group Practice PAC ID
8729221809
Professional Enrollment ID
I20050225000830
Address ID
CA923734000RE16XXXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,034 GENERAL PRACTICE in CA

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Provider Addresses for TIMOTHY GRANT MCNAUGHTON (M.D)

  • 2100 Powell Street, Bay Trail, Emeryville, Alameda County, California, 94608, United States

    STE 920

    EMERYVILLE, CA 946081803

    Phone: (510) 350-2600

    Fax: (510) 879-9100

    Type: Mailing

  • Apple Valley, Dakota County, Minnesota, 55124, United States

    APPLE VALLEY, CA 92307

    Phone: (760) 242-2311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Solventum Corporation ($41).

Total Amount

$54

General + Research + Ownership

Payments

2

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2005-02-25

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
I20050225000830IGeneral PracticeCATBD

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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes3316$0
99213Established patient office or other outpatient visit, 20-29 minutes2512$0
99285Emergency department visit with high level of medical decision making2323$0
View full utilization report →

Insurance plans in this area (ZIP 94608)

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Provider's Procedures

TIMOTHY GRANT MCNAUGHTON (M.D) performs procedures in GENERAL PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINECA11042Removal of skin and tissue first 20 sq cm or less15827

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: 8729221809View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency MedicineCA
Emergency Medicine, General Practice, Undersea And Hyperbaric MedicineCA
Emergency MedicineCA
Physician AssistantCA
Family Practice, Emergency Medicine, Critical Care (Intensivists)CA
Emergency MedicineCA
Family Practice, Emergency MedicineCA
General SurgeryCA
Internal Medicine, HospitalistCA

Reviews

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Frequently asked questions

What number should I use to identify TIMOTHY GRANT MCNAUGHTON (M.D) for billing?
Administrative and clinical systems typically use NPI 1124062039 for TIMOTHY GRANT MCNAUGHTON (M.D).
Is TIMOTHY GRANT MCNAUGHTON (M.D)'s NPI status active today?
Active status means TIMOTHY GRANT MCNAUGHTON (M.D)'s NPI record is not deactivated in the public file.
What does the directory say TIMOTHY GRANT MCNAUGHTON (M.D) does?
Insurance directories may phrase it differently, but here TIMOTHY GRANT MCNAUGHTON (M.D) maps to General Practice Physician. Clinical services aligned with this taxonomy classification.
Can patients visit TIMOTHY GRANT MCNAUGHTON (M.D) in Emeryville, California?
For routing, start with Emeryville, California for TIMOTHY GRANT MCNAUGHTON (M.D), then verify phone and hours locally.
Why is information missing for TIMOTHY GRANT MCNAUGHTON (M.D)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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