DR. TIMOTHY J MCNICOLL (M.D.) – Hospitalist Physician, NPI 1790750115

DR. TIMOTHY J MCNICOLL (M.D.) is a healthcare provider. based in Panorama city, California. specializing in HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. G48100 (CA). The NPI Number for DR. TIMOTHY J MCNICOLL (M.D.) is 1790750115

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY J MCNICOLL (M.D.)
NPI
1790750115
Phone
(819) 899-5555
Address
8727 Van Nuys Blvd Ste 101
Enumeration Date
20 February 2006
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
8188995555
Graduation Year
1981 (45 years ago)
PAC ID
8325052293
Group Practice PAC ID
3678714201
Professional Enrollment ID
I20060130000923
Address ID
CA914022451PA8727XBLVD401
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

3,299 HOSPITALIST in CA

Provider Addresses for DR. TIMOTHY J MCNICOLL (M.D.)

  • 8727 Van Nuys Blvd Ste 101

    Panorama City, CA 914022463

    Phone: (819) 899-5555

    Type: Location

  • 1180 NEWFIELD AVE

    STAMFORD, CT 069051409

    Phone: (314) 888-5233

    Type: Location

  • 89 HUMBOLDT ST

    SIMI VALLEY, CA 930655359

    Phone: (805) 391-7722

    Fax: (805) 526-1443

    Type: Mailing

  • Sycamore Drive, Simi Valley, Ventura County, California, 90363, United States

    SUITE 101

    SIMI VALLEY, CA 930651550

    Phone: (805) 527-6424

    Fax: (805) 522-0115

    Type: Mailing

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 $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($31).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$31
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: 2006-01-30

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
I20060130000923IHospitalistCATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes323116$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes231225$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13366$0
99239Hospital discharge day management, more than 30 minutes109103$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 91402)

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Provider's Procedures

DR. TIMOTHY J MCNICOLL (M.D.) performs procedures in HOSPITALIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA73562X-ray of knee, 3 views2621
FAMILY MEDICINECA17003Destruction of 2-14 skin growths7229

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: 3678714201View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, General PracticeCA
Physician AssistantCA
General PracticeCA
Family Practice, General PracticeNV
Nurse PractitionerCA
Family PracticeCA
Family PracticeCA
Nurse PractitionerCA
O B S T E T R I C S/ G Y N E C O L O G YCA

Reviews

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Frequently asked questions

Does DR. TIMOTHY J MCNICOLL (M.D.) have a public NPI I can cite?
Public records show DR. TIMOTHY J MCNICOLL (M.D.) under NPI 1790750115.
Should I treat DR. TIMOTHY J MCNICOLL (M.D.) as an active provider?
Patients and plans typically see DR. TIMOTHY J MCNICOLL (M.D.) as active in the national extract.
What type of care does DR. TIMOTHY J MCNICOLL (M.D.) provide?
DR. TIMOTHY J MCNICOLL (M.D.)'s profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. TIMOTHY J MCNICOLL (M.D.) in Panorama City, California?
For routing, start with Panorama City, California for DR. TIMOTHY J MCNICOLL (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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