TIMOTHY DEACONSON (MD) – Surgery Physician, NPI 1679559355

TIMOTHY DEACONSON (MD) is a healthcare provider. based in Thousand oaks, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 47404 (MN). The NPI Number for TIMOTHY DEACONSON (MD) is 1679559355

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY DEACONSON (MD)
NPI
1679559355
Phone
(805) 600-4001
Address
2190 Lynn Rd Ste 300
Enumeration Date
15 December 2005
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2167768923
Graduation Year
1983 (43 years ago)
PAC ID
6507759602
Group Practice PAC ID
0840604690
Professional Enrollment ID
I20210914001035
Address ID
CA921202412SA4776XRDXX300

Contacts

Secure Messaging
tdeaconson92108@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,317 GENERAL SURGERY in CA

Provider Addresses for TIMOTHY DEACONSON (MD)

  • 2190 Lynn Rd Ste 300

    Thousand Oaks, CA 913608024

    Phone: (805) 600-4001

    Fax: (805) 309-4798

    Type: Location

  • 1015, Marsh Street, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560015294

    Phone: (507) 389-4700

    Type: Mailing

  • Mayo Clinic Health System, 1025, Marsh Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560014752

    Phone: (507) 625-4031

    Type: Location

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 $2,966.

Total Amount is formed as General ($2,966) + Research ($0) + Ownership ($0) = $2,966.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,720).

Total Amount

$2,966

General + Research + Ownership

Payments

10

Total payment records

General Amount

$2,966

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2021-09-14

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
I20050105000595IGeneral SurgeryMNTBD
I20210914001035IGeneral SurgeryCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes133108$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6765$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2020$0
99283Emergency department visit with low level of medical decision making2020$0
99238Hospital discharge day management, 30 minutes or less1313$0
View full utilization report →

Insurance plans in this area (ZIP 91360)

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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: 0840604690View full group profile
NameSpecialtyState
Critical Care (Intensivists), Pulmonary Disease, Internal MedicineCA
Internal MedicineCA
General SurgeryCT
Critical Care (Intensivists), Pulmonary DiseaseIL
General SurgeryIL
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineCA
Critical Care (Intensivists), Pulmonary DiseaseCA
Internal MedicineCA
A N E S T H E S I O L O G YCA
General Surgery, Critical Care (Intensivists)CA

Reviews

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Frequently asked questions

What unique ID ties claims to TIMOTHY DEACONSON (MD)?
NPI 1679559355 is assigned to TIMOTHY DEACONSON (MD) under the national enumeration system.
Is TIMOTHY DEACONSON (MD) currently active in the NPI registry?
CMS-published data lists TIMOTHY DEACONSON (MD) as an active registrant.
What does TIMOTHY DEACONSON (MD) treat or focus on?
Patients typically see TIMOTHY DEACONSON (MD) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is TIMOTHY DEACONSON (MD)'s primary listing?
We display Thousand Oaks, California because that is what the record indicates for TIMOTHY DEACONSON (MD).
Is TIMOTHY DEACONSON (MD) a real provider?
This page reflects official NPPES data for NPI 1679559355. Always confirm identity and privileges with the practice and licensing boards.

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