TIMOTHY JASON MCCORD (D.O.) – Child & Adolescent Psychiatry Physician, NPI 1003012592

TIMOTHY JASON MCCORD (D.O.) is a healthcare provider. based in Overland park, Kansas. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 05-33950 (KS). The NPI Number for TIMOTHY JASON MCCORD (D.O.) is 1003012592

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY JASON MCCORD (D.O.)
NPI
1003012592
Phone
(913) 280-1149
Address
13290 W 113th St
Enumeration Date
22 June 2007
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
7858439192
Graduation Year
2007 (19 years ago)
PAC ID
6406010461
Group Practice PAC ID
5799693834
Professional Enrollment ID
I20120604000469
Address ID
KS660441396LA200XXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

249 PSYCHIATRY in KS

Provider Addresses for TIMOTHY JASON MCCORD (D.O.)

  • 13290 W 113th St

    Overland Park, KS 662103314

    Phone: (913) 280-1149

    Type: Location

  • 7501 College Blvd Ste 250

    Overland Park, KS 662102505

    Phone: (913) 451-8550

    Fax: (913) 469-5266

    Type: Location

  • 200 MAINE ST STE A

    LAWRENCE, KS 660441396

    Phone: (785) 843-9192

    Fax: (785) 856-9191

    Type: Location

  • 4101 SW Martin Dr Ste B

    Topeka, KS 666091221

    Phone: (877) 921-4114

    Fax: (785) 861-7147

    Type: Location

  • 3801, Blue Parkway, Kansas City, Jackson County, Missouri, 64130, United States

    KANSAS CITY, MO 641302807

    Phone: (816) 922-3166

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-06-04

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
I20120604000469IPsychiatryKSTBD

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 66210)

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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: 5799693834View full group profile
NameSpecialtyState
Clinical Social WorkerKS
P S Y C H I A T R YKS
Nurse PractitionerMO
Clinical Social WorkerKS
Nurse PractitionerKS
-KS
Certified Clinical Nurse Specialist (Cns)KS
-KS
-KS
Clinical PsychologistKS

Reviews

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Frequently asked questions

What is TIMOTHY JASON MCCORD (D.O.)'s NPI number?
TIMOTHY JASON MCCORD (D.O.)'s NPI is 1003012592 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to TIMOTHY JASON MCCORD (D.O.)?
You should see TIMOTHY JASON MCCORD (D.O.) as active in CMS-hosted NPPES data.
What clinical focus is listed for TIMOTHY JASON MCCORD (D.O.)?
At a glance, TIMOTHY JASON MCCORD (D.O.) is tied to Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TIMOTHY JASON MCCORD (D.O.)?
Travel planning: use Overland Park, Kansas as the reference point for TIMOTHY JASON MCCORD (D.O.), then confirm.
Does TIMOTHY JASON MCCORD (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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