TIMOTHY R. LONG (M.D.) – Family Medicine Physician, NPI 1699743567
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,718 FAMILY PRACTICE in KY
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Provider Addresses for TIMOTHY R. LONG (M.D.)
5 CHESTNUT HILL CT
BOWLING GREEN, KY 421037002
Phone: (270) 746-5455
Fax: (270) 746-5688
Type: Mailing
1320, Andrea Street, Eastland Park, Bowling Green, Warren County, Kentucky, 42104, United States
BOWLING GREEN, KY 421043334
Phone: (270) 746-5455
Fax: (270) 746-5688
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($29).
Total Amount
$79
General + Research + Ownership
Payments
5
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
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: 2006-01-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060106000060 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 4,492 | 157 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,687 | 509 | $0 |
| 99497 | Advance care planning, first 30 minutes | 510 | 508 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 480 | 480 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 465 | 465 | $0 |
Insurance plans in this area (ZIP 42103)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| - | KY |
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