TIM LARGE (M.D.) – Surgery Physician, NPI 1386906907
Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
300 UROLOGY in IN
Provider Addresses for TIM LARGE (M.D.)
535 BARNHILL DR
SUITE 150
INDIANAPOLIS, IN 462025116
Phone: (317) 962-5500
Type: Mailing
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 462025149
Phone: (317) 274-4966
Type: Location
300 E MCBEE AVE FL 4
GREENVILLE, SC 296012842
Phone: (864) 522-8603
Type: Mailing
48 CENTENNIAL WAY
GREENVILLE, SC 296054662
Phone: (864) 522-8603
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $742.
Total Amount is formed as General ($742) + Research ($0) + Ownership ($0) = $742.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Boston Scientific Corporation ($276).
Total Amount
$742
General + Research + Ownership
Payments
8
Total payment records
General Amount
$742
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
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: 2023-11-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231102002698 | I | Urology | SC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 77 | $0 |
| 52649 | Complete laser fragmentation of prostate including control of bleeding using an endoscope | 74 | 74 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 43 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 42 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $0 |
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | NH | |
| Family Practice | SC | |
| - | SC | |
| Infectious Disease, Internal Medicine | MT | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| G A S T R O E N T E R O L O G Y | PA | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Nurse Practitioner | SC | |
| Certified Registered Nurse Anesthetist (Crna) | WV |
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