MR. TIMOTHY J LOERKE (PA-C) – Physician Assistant, NPI 1174803050

MR. TIMOTHY J LOERKE (PA-C) is a healthcare provider. based in Jeffersonville, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1785 (KY). The NPI Number for MR. TIMOTHY J LOERKE (PA-C) is 1174803050

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY J LOERKE (PA-C)
NPI
1174803050
Phone
(865) 293-5335
Address
200 MISSOURI AVE
Enumeration Date
23 August 2011
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9302560240
Graduation Year
2011 (15 years ago)
PAC ID
3476725532
Group Practice PAC ID
6305112103
Professional Enrollment ID
I20180112001257
Address ID
IN471508833NE4917XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for MR. TIMOTHY J LOERKE (PA-C)

  • 200 MISSOURI AVE

    JEFFERSONVILLE, IN 471303061

    Phone: (865) 293-5335

    Type: Mailing

  • 13151 MAGISTERIAL DR STE 200

    LOUISVILLE, KY 402234103

    Phone: (502) 587-1236

    Fax: (502) 587-0126

    Type: Location

  • 4123 Dutchmans Ln Ste 101

    Louisville, KY 402074718

    Phone: (502) 559-1777

    Type: Location

  • 5120 Dixie Hwy Ste 103

    Louisville, KY 402161775

    Phone: (502) 587-1236

    Fax: (502) 449-3277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $237.

Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($158).

Total Amount

$237

General + Research + Ownership

Payments

5

Total payment records

General Amount

$237

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2018-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130208000107IPhysician AssistantKYTBD
I20180112001257IPhysician AssistantINTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,120211$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes823110$0
90792Psychiatric diagnostic evaluation with medical services243205$0
View full utilization report →

Insurance plans in this area (ZIP 47130)

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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: 6305112103View full group profile
NameSpecialtyState
Nurse PractitionerIN
Clinical Social WorkerIN
Emergency Medicine, Internal Medicine, HospitalistIL
Nurse PractitionerIL
Clinical Social WorkerKS
Nurse PractitionerIL
Nurse PractitionerIL
Family Practice, Geriatric MedicineIL
Nurse PractitionerIN
Nurse PractitionerIL

Reviews

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Frequently asked questions

How is MR. TIMOTHY J LOERKE (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MR. TIMOTHY J LOERKE (PA-C) with NPI 1174803050.
Is MR. TIMOTHY J LOERKE (PA-C) listed as active for patients and plans?
The listing shows MR. TIMOTHY J LOERKE (PA-C) as active in the NPI system.
What taxonomy line describes MR. TIMOTHY J LOERKE (PA-C)?
For research purposes, treat MR. TIMOTHY J LOERKE (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MR. TIMOTHY J LOERKE (PA-C)?
MR. TIMOTHY J LOERKE (PA-C)'s geographic hint is Jeffersonville, Indiana in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.