DR. TIMOTHY DERRICK DO (MD) – Neurological Surgery Physician, NPI 1043464639
Neurological Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. TIMOTHY DERRICK DO (MD)
4689 US HIGHWAY 17
SUITE 11
ORANGE PARK, FL 320034831
Phone: (904) 269-7007
Fax: (866) 264-0529
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: 2013-07-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130709000143 | I | Neurology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 615 | 298 | $0 |
| 95937 | Testing of nerve-muscle junction | 350 | 141 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 317 | 143 | $0 |
| 95887 | Needle measurement of electrical activity in trunk or head muscles | 177 | 144 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 118 | 118 | $0 |
Insurance plans in this area (ZIP 32003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | NE | |
| Neurology, Critical Care (Intensivists) | FL |
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