TIMOTHY RICHARDSON (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1164446548

TIMOTHY RICHARDSON (M.D.) is a healthcare provider. based in Rancho mirage, California. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. G53073 (CA). The NPI Number for TIMOTHY RICHARDSON (M.D.) is 1164446548

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY RICHARDSON (M.D.)
NPI
1164446548
Phone
(760) 341-1999
Address
PO BOX 1486
Enumeration Date
27 July 2006
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7603411999
Graduation Year
1983 (43 years ago)
PAC ID
7618874298
Group Practice PAC ID
5890916845
Professional Enrollment ID
I20101007000286
Address ID
CA922116064PA36867STXX301
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

2,140 DERMATOLOGY in CA

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Provider Addresses for TIMOTHY RICHARDSON (M.D.)

  • PO BOX 1486

    RANCHO MIRAGE, CA 922701049

    Phone: (760) 341-1999

    Fax: (760) 341-1997

    Type: Mailing

  • 36867, Cook Street, Palm Desert, Riverside County, California, 92211, United States

    SUITE 101

    PALM DESERT, CA 922116064

    Phone: (760) 341-1999

    Fax: (760) 341-1997

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-01-17 • Largest payer in this snapshot: ABBVIE INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$21
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: 2010-10-07

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
I20101007000286IDermatologyCATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,964344$0
99213Established patient office or other outpatient visit, 20-29 minutes851601$0
17000Destruction of precancer skin growth, 1 growth642479$0
11102Biopsy of related skin growth, first growth524393$0
99212Established patient office or other outpatient visit, 10-19 minutes431282$0
View full utilization report →

Insurance plans in this area (ZIP 92270)

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Provider's Procedures

TIMOTHY RICHARDSON (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips6665
DERMATOLOGYCA77300Calculation of radiation therapy dose3633
DERMATOLOGYCA88304Pathology examination of tissue using a microscope, moderately low complexity3433

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: 5890916845View full group profile

Reviews

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Frequently asked questions

Can I verify TIMOTHY RICHARDSON (M.D.) with an NPI only?
You can start verification with NPI 1164446548 for TIMOTHY RICHARDSON (M.D.), then check state licensing separately.
Can I rely on TIMOTHY RICHARDSON (M.D.) being an active provider?
As of the registry snapshot, TIMOTHY RICHARDSON (M.D.) is marked active.
What is TIMOTHY RICHARDSON (M.D.)'s specialty?
The listing groups TIMOTHY RICHARDSON (M.D.) with MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect TIMOTHY RICHARDSON (M.D.) on a map?
Expect Rancho Mirage, California as a primary anchor for TIMOTHY RICHARDSON (M.D.) unless the record lists multiple sites.
Is the information about TIMOTHY RICHARDSON (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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