TIMOTHY WHITEHEAD (MD) – Vascular & Interventional Radiology Physician, NPI 1871752428

TIMOTHY WHITEHEAD (MD) is a healthcare provider. based in East peoria, Illinois. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. 35.123822 (OH). The NPI Number for TIMOTHY WHITEHEAD (MD) is 1871752428

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY WHITEHEAD (MD)
NPI
1871752428
Phone
(309) 740-4272
Address
111 OAKWOOD RD
Enumeration Date
7 June 2008
Last Update Date
13 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5635683411524
Graduation Year
2007 (19 years ago)
PAC ID
6800011636
Group Practice PAC ID
1355230293
Professional Enrollment ID
I20231127001363
Address ID
IA521722022WA40XXXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:18State licenses:3Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

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Provider Addresses for TIMOTHY WHITEHEAD (MD)

  • 111 OAKWOOD RD

    EAST PEORIA, IL 616111853

    Phone: (309) 740-4272

    Type: Mailing

  • 24701, Euclid Avenue, Euclid, Cuyahoga County, Ohio, 44117, United States

    3RD FLOOR

    EUCLID, OH 441171714

    Phone:

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 441061716

    Phone: (216) 844-1700

    Type: Location

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616375429

    Phone: (309) 655-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $659.

Total Amount is formed as General ($659) + Research ($0) + Ownership ($0) = $659.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($141).

Total Amount

$659

General + Research + Ownership

Payments

10

Total payment records

General Amount

$659

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

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: 2023-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20160411001467IInterventional RadiologyILTBD
I20231027001121IInterventional RadiologyMNTBD
I20231027001431IInterventional RadiologyWITBD
I20231127001363IInterventional RadiologyIATBD

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
93880Ultrasound of both sides of head and neck blood flow341340$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers177174$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes172156$0
93922Ultrasound study of arm and leg arteries160157$0
93970Ultrasound study of arm or leg veins with compression and maneuvers149147$0
View full utilization report →

Insurance plans in this area (ZIP 61611)

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Provider's Procedures

TIMOTHY WHITEHEAD (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL RADIOLOGYOH71010X-ray of chest, 1 view, front5648

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: 1355230293View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerIA
-OK
Interventional Radiology, Diagnostic RadiologyWI
Nurse PractitionerIA
Nurse PractitionerWI
Nurse PractitionerIA
Nurse PractitionerWI

Reviews

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Frequently asked questions

What number should I use to identify TIMOTHY WHITEHEAD (MD) for billing?
Administrative and clinical systems typically use NPI 1871752428 for TIMOTHY WHITEHEAD (MD).
Is TIMOTHY WHITEHEAD (MD) currently accepting referrals based on NPI status?
Registry metadata lists TIMOTHY WHITEHEAD (MD) as active.
Which specialty label fits TIMOTHY WHITEHEAD (MD)?
NPPES ties TIMOTHY WHITEHEAD (MD) to Vascular & Interventional Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to TIMOTHY WHITEHEAD (MD)?
The directory associates TIMOTHY WHITEHEAD (MD) with East Peoria, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains TIMOTHY WHITEHEAD (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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