TIMOTHY N PETERSON (MD) – Family Medicine Physician, NPI 1568564243

TIMOTHY N PETERSON (MD) is a healthcare provider. based in Homosassa, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME80717 (FL). The NPI Number for TIMOTHY N PETERSON (MD) is 1568564243

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY N PETERSON (MD)
NPI
1568564243
Phone
(352) 382-5000
Address
7945 S SUNCOAST BLVD
Enumeration Date
2 September 2006
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
3525966632
Graduation Year
1997 (29 years ago)
PAC ID
8921131145
Group Practice PAC ID
2264595941
Professional Enrollment ID
I20100809000358
Address ID
FL346135409SP11375BLVD300

Contacts

Secure Messaging
TIMOTHY.PETERSON@hca4.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

6,722 FAMILY PRACTICE in FL

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Provider Addresses for TIMOTHY N PETERSON (MD)

  • Suncoast Boulevard, Homosassa Springs, Citrus County, Florida, 34448, United States

    SUITE A

    HOMOSASSA, FL 344465005

    Phone: (352) 382-5000

    Fax: (352) 382-1940

    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: 2010-08-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100809000358IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes663429$0
99213Established patient office or other outpatient visit, 20-29 minutes564396$0
85610Blood test, clotting time16216$0
93793Anticoagulant management of patient taking warfarin13515$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit121121$0
View full utilization report →

Insurance plans in this area (ZIP 34446)

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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: 2264595941View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Internal MedicineFL
-FL
General Surgery, Surgical OncologyTX
O B S T E T R I C S/ G Y N E C O L O G YFL
Nephrology, Internal MedicineFL
Family PracticeAK
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for TIMOTHY N PETERSON (MD)?
Save NPI 1568564243 if you need a stable reference for TIMOTHY N PETERSON (MD).
Does this profile mean TIMOTHY N PETERSON (MD) is currently active?
Yes — TIMOTHY N PETERSON (MD) appears active in the national provider directory.
Does TIMOTHY N PETERSON (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for TIMOTHY N PETERSON (MD). Clinical services aligned with this taxonomy classification.
Where is TIMOTHY N PETERSON (MD)'s primary listing?
We display Homosassa, Florida because that is what the record indicates for TIMOTHY N PETERSON (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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