TIMOTHY GILLIARD (PA-C) – Physician Assistant, NPI 1396029906
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,304 PHYSICIAN ASSISTANT in FL
Provider Addresses for TIMOTHY GILLIARD (PA-C)
8 MIRROR LAKE DR
STE A
ORMOND BEACH, FL 321743101
Phone: (407) 965-9588
Type: Mailing
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 321142733
Phone: (386) 238-3289
Type: Location
PO BOX 9910
DAYTONA BEACH, FL 321200910
Phone: (386) 238-3289
Type: Mailing
1340 RIDGEWOOD AVE
HOLLY HILL, FL 321172360
Phone: (407) 965-9588
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $467.
Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Medtronic, Inc. ($237).
Total Amount
$467
General + Research + Ownership
Payments
17
Total payment records
General Amount
$467
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-12-11
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20121211000204 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32174)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular Disease | FL |
Reviews
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