MR. TIMOTHY BRIAN WILLIAMS (PA-C) – Physician Assistant, NPI 1558613547
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MR. TIMOTHY BRIAN WILLIAMS (PA-C)
9615 KEILMAN ST
SAINT JOHN, IN 463739406
Phone: (219) 365-0220
Fax: (219) 365-0226
Type: Mailing
730 45TH ST
MUNSTER, IN 463212818
Phone: (219) 924-3300
Fax: (219) 922-5424
Type: Mailing
9900 COLUMBIA AVE
MUNSTER, IN 463214008
Phone: (219) 924-3300
Fax: (219) 922-5424
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $333.
Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Lightbody Medical Technologies Inc ($150).
Total Amount
$333
General + Research + Ownership
Payments
7
Total payment records
General Amount
$333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lightbody Medical Technologies Inc | $150 |
| DePuy Synthes Sales Inc. | $141 |
| ConvaTec Inc. | $42 |
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: 2013-02-14
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 |
|---|---|---|---|---|
| I20130214000335 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,292 | 101 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 209 | 98 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 204 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 110 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 109 | 87 | $0 |
Insurance plans in this area (ZIP 46373)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| - | IN | |
| Nurse Practitioner | IN | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | IN | |
| - | IN | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | IL | |
| Nurse Practitioner | IN | |
| - | IN | |
| Gynecological Oncology, Obstetrics/Gynecology | IN | |
| - | IN |
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