TIM K PUCKETT (MD) – Obstetrics & Gynecology Physician, NPI 1609857549

TIM K PUCKETT (MD) is a healthcare provider. based in Coral springs, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME93795 (FL). The NPI Number for TIM K PUCKETT (MD) is 1609857549

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
TIM K PUCKETT (MD)
NPI
1609857549
Phone
(954) 341-8288
Address
8110 ROYAL PALM BLVD
Enumeration Date
8 November 2005
Last Update Date
9 May 2008

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
8649083530
Graduation Year
1985 (41 years ago)
PAC ID
6204737422
Group Practice PAC ID
5193866838
Professional Enrollment ID
I20060107000041
Address ID
FL331502038MI1100XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for TIM K PUCKETT (MD)

  • 8110, Royal Palm Boulevard, Coral Springs, Broward County, Florida, 33065, United States

    STE 108

    CORAL SPRINGS, FL 330655795

    Phone: (954) 341-8288

    Fax: (954) 341-5156

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $360.

Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Organon LLC ($124).

Total Amount

$360

General + Research + Ownership

Payments

4

Total payment records

General Amount

$360

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-01-07

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
I20060107000041IObstetrics/GynecologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33065)

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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: 5193866838View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YGA
-FL
-FL
-FL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

Can I cross-check TIM K PUCKETT (MD) using NPI 1609857549?
NPI 1609857549 belongs to TIM K PUCKETT (MD); compare other details if you need extra assurance.
Would TIM K PUCKETT (MD) appear as active to a payer?
You can treat TIM K PUCKETT (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for TIM K PUCKETT (MD)?
At a glance, TIM K PUCKETT (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is TIM K PUCKETT (MD) associated with Coral Springs?
Public fields place TIM K PUCKETT (MD) around Coral Springs, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for TIM K PUCKETT (MD) is noted as November 8, 2005 where the registry provides it.

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