MR. TIMOTHY RICHARDSON – Medical Physician Assistant, NPI 1407378136

MR. TIMOTHY RICHARDSON is a healthcare provider. based in Denver, Colorado. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA60779457 (WA). The NPI Number for MR. TIMOTHY RICHARDSON is 1407378136

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY RICHARDSON
NPI
1407378136
Phone
(303) 500-1518
Address
3825 N Lafayette St
Enumeration Date
14 July 2017
Last Update Date
23 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3039852550
Graduation Year
2017 (9 years ago)
PAC ID
2466719943
Group Practice PAC ID
2365346558
Professional Enrollment ID
I20221220002539
Address ID
CO804398006EV32135CTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:8State licenses:2Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for MR. TIMOTHY RICHARDSON

  • 3825 N Lafayette St

    Denver, CO 802053316

    Phone: (303) 500-1518

    Type: Location

  • 808, Navajo Drive, Riverside, Riverside County, California, 92507, United States

    RIVERSIDE, CA 925076047

    Phone:

    Type: Mailing

  • Grays Harbor Community Hospital, 915, Anderson Drive, Aberdeen, Grays Harbor County, Washington, 98520, United States

    ABERDEEN, WA 985201006

    Phone: (360) 532-8330

    Type: Location

  • 10200 GRAND CENTRAL AVE STE 220

    OWINGS MILLS, MD 211174366

    Phone: (443) 471-5783

    Type: Mailing

  • 10535 PARK MEADOWS BLVD STE 102

    LONE TREE, CO 801248456

    Phone: (303) 695-6106

    Type: Location

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: 2022-12-20

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
I20221220002539IPhysician AssistantCOTBD

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
80047Blood test, basic group of blood chemicals (calcium, ionized)3534$0
85014Red blood cell concentration measurement3534$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes3131$0
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes2929$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 80205)

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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: 2365346558View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MR. TIMOTHY RICHARDSON?
Save NPI 1407378136 if you need a stable reference for MR. TIMOTHY RICHARDSON.
Does this profile mean MR. TIMOTHY RICHARDSON is currently active?
Yes — MR. TIMOTHY RICHARDSON appears active in the national provider directory.
Does MR. TIMOTHY RICHARDSON list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for MR. TIMOTHY RICHARDSON. Clinical services aligned with this taxonomy classification.
Where does public data place MR. TIMOTHY RICHARDSON?
The snapshot lists Denver, Colorado for MR. TIMOTHY RICHARDSON; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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