DR. TIMOTHY CHARLES PAIK-NICELY – Emergency Medicine Physician, NPI 1760489389

DR. TIMOTHY CHARLES PAIK-NICELY is a healthcare provider. based in Eureka, California. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE, OBSTETRICS/GYNECOLOGY. They hold a License No. G44510 (CA). The NPI Number for DR. TIMOTHY CHARLES PAIK-NICELY is 1760489389

Main info

Male
Sole Proprietor
49 Years Of Experience
Name
DR. TIMOTHY CHARLES PAIK-NICELY
NPI
1760489389
Phone
(707) 601-9767
Address
2505 LUCAS ST
Enumeration Date
29 June 2005
Last Update Date
20 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
7079232783
Graduation Year
1977 (49 years ago)
PAC ID
6800797234
Group Practice PAC ID
6709867583
Professional Enrollment ID
I20081103000578
Address ID
CA955600000RE101XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for DR. TIMOTHY CHARLES PAIK-NICELY

  • 2505 LUCAS ST

    STE B

    EUREKA, CA 955013340

    Phone: (707) 601-9767

    Fax: (707) 601-9746

    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)

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: 2004-01-17

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
I20040117000200IFamily 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
99285Emergency department visit with high level of medical decision making225217$0
99284Emergency department visit with moderate level of medical decision making160148$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only146139$0
99283Emergency department visit with low level of medical decision making3230$0
View full utilization report →

Insurance plans in this area (ZIP 95501)

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Provider's Procedures

DR. TIMOTHY CHARLES PAIK-NICELY performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report8276

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: 6709867583View full group profile
NameSpecialtyState
Nurse PractitionerCA
Clinical Social WorkerOR
Physician AssistantCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Family Practice, Osteopathic Manipulative MedicineOR
Family PracticeCA
Physician AssistantOR

Reviews

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Frequently asked questions

Does DR. TIMOTHY CHARLES PAIK-NICELY have a public NPI I can cite?
Public records show DR. TIMOTHY CHARLES PAIK-NICELY under NPI 1760489389.
Does the public listing show DR. TIMOTHY CHARLES PAIK-NICELY as active?
DR. TIMOTHY CHARLES PAIK-NICELY's NPI record reflects an active status in NPPES.
Which specialty label fits DR. TIMOTHY CHARLES PAIK-NICELY?
NPPES ties DR. TIMOTHY CHARLES PAIK-NICELY to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TIMOTHY CHARLES PAIK-NICELY?
DR. TIMOTHY CHARLES PAIK-NICELY shows a connection to Eureka, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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