DR. TIMOTHY PAUL HARRIS (D.O.) – Surgery Physician, NPI 1093775785

DR. TIMOTHY PAUL HARRIS (D.O.) is a healthcare provider. based in Emporia, Kansas. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 0521008 (KS). The NPI Number for DR. TIMOTHY PAUL HARRIS (D.O.) is 1093775785

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY PAUL HARRIS (D.O.)
NPI
1093775785
Phone
(620) 343-6800
Address
1201 W 12TH AVE
Enumeration Date
25 March 2006
Last Update Date
14 May 2019

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
6203432376
Graduation Year
1983 (43 years ago)
PAC ID
8224945233
Group Practice PAC ID
5193638526
Professional Enrollment ID
I20251112002406
Address ID
KS668012590EM1301XANDX601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

300 GENERAL SURGERY in KS

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Provider Addresses for DR. TIMOTHY PAUL HARRIS (D.O.)

  • Newman Regional Health Center, 1201, West 12th Avenue, Berkeley Hills, Emporia, Lyon County, Kansas, 66801, United States

    EMPORIA, KS 668012504

    Phone: (620) 343-6800

    Fax: (620) 341-7821

    Type: Mailing

  • 301, West 12th Avenue, Berkeley Hills, Emporia, Lyon County, Kansas, 66801, United States

    EMPORIA, KS 668012590

    Phone: (620) 343-2376

    Fax: (620) 342-0087

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $341.

Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Organogenesis Inc. ($135).

Total Amount

$341

General + Research + Ownership

Payments

13

Total payment records

General Amount

$341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2025-11-12

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
I20090818000565IGeneral SurgeryKSTBD
I20251112002406IGeneral SurgeryMOTBD

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 66801)

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Provider's Procedures

DR. TIMOTHY PAUL HARRIS (D.O.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYKS11042Removal of skin and tissue first 20 sq cm or less8436
GENERAL SURGERYKS43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2322
GENERAL SURGERYKS45378Diagnostic examination of large bowel using an endoscope4747

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: 5193638526View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Hospitalist, Family PracticeKS
General SurgeryKS
-KS
O B S T E T R I C S/ G Y N E C O L O G YKS
Certified Registered Nurse Anesthetist (Crna)KS
Nurse PractitionerKS
Physician AssistantKS
Physician AssistantKS
Nurse PractitionerKS

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Frequently asked questions

How do I look up DR. TIMOTHY PAUL HARRIS (D.O.) by NPI?
Use NPI 1093775785 when you need to reference DR. TIMOTHY PAUL HARRIS (D.O.) in forms, claims, or directories.
Is DR. TIMOTHY PAUL HARRIS (D.O.)'s NPI currently valid?
The extract we use shows DR. TIMOTHY PAUL HARRIS (D.O.) as active.
What does DR. TIMOTHY PAUL HARRIS (D.O.) treat or focus on?
Patients typically see DR. TIMOTHY PAUL HARRIS (D.O.) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. TIMOTHY PAUL HARRIS (D.O.)?
We surface Emporia, Kansas for DR. TIMOTHY PAUL HARRIS (D.O.) based on available NPPES addresses.
Is DR. TIMOTHY PAUL HARRIS (D.O.) a real provider?
This page reflects official NPPES data for NPI 1093775785. Always confirm identity and privileges with the practice and licensing boards.

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