DYLAN G TIMMERMANN (PA-C) – Physician Assistant, NPI 1235838228

DYLAN G TIMMERMANN (PA-C) is a healthcare provider. based in Lawrence, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2023009268 (MO). The NPI Number for DYLAN G TIMMERMANN (PA-C) is 1235838228

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DYLAN G TIMMERMANN (PA-C)
NPI
1235838228
Phone
(785) 730-8770
Address
4910 Corporate Centre Dr Ste 150
Enumeration Date
28 February 2023
Last Update Date
27 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7854085800
Graduation Year
2022 (4 years ago)
PAC ID
7810361714
Group Practice PAC ID
7315241577
Professional Enrollment ID
I20230606001989
Address ID
KS666142321TO5120XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for DYLAN G TIMMERMANN (PA-C)

  • 4910 Corporate Centre Dr Ste 150

    Lawrence, KS 660471002

    Phone: (785) 730-8770

    Fax: (785) 730-8700

    Type: Location

  • 5120 SW 28TH ST

    TOPEKA, KS 666142321

    Phone: (785) 408-5800

    Fax: (785) 730-8700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $4,554.

Total Amount is formed as General ($4,554) + Research ($0) + Ownership ($0) = $4,554.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($1,037).

Total Amount

$4,554

General + Research + Ownership

Payments

78

Total payment records

General Amount

$4,554

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2023-06-06

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
I20230606001989IPhysician AssistantKSTBD

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
17003Destruction of precancer skin growth, 2-14 growths22663$0
17000Destruction of precancer skin growth, 1 growth9591$0
99213Established patient office or other outpatient visit, 20-29 minutes9586$0
99203New patient office or other outpatient visit, 30-44 minutes8181$0
17110Destruction of skin growth, 1-14 growths6459$0
View full utilization report →

Insurance plans in this area (ZIP 66047)

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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: 7315241577View full group profile
NameSpecialtyState
Physician AssistantTX
-KS
Nurse PractitionerKS
Micrographic Dermatologic Surgery (Mds), DermatologyKS
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What NPI should I save for DYLAN G TIMMERMANN (PA-C)?
Save NPI 1235838228 if you need a stable reference for DYLAN G TIMMERMANN (PA-C).
Does this profile mean DYLAN G TIMMERMANN (PA-C) is currently active?
Yes — DYLAN G TIMMERMANN (PA-C) appears active in the national provider directory.
Can you summarize DYLAN G TIMMERMANN (PA-C)'s specialty in plain language?
Clinically, the directory lists DYLAN G TIMMERMANN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is DYLAN G TIMMERMANN (PA-C)'s primary listing?
We display Lawrence, Kansas because that is what the record indicates for DYLAN G TIMMERMANN (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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