TIM GOOCH (APRN) – Family Nurse Practitioner, NPI 1740635010

TIM GOOCH (APRN) is a healthcare provider. based in Lawrenceburg, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3010233 (KY). The NPI Number for TIM GOOCH (APRN) is 1740635010

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TIM GOOCH (APRN)
NPI
1740635010
Phone
(859) 319-8487
Address
92 PLAZA DR
Enumeration Date
25 April 2016
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8597122041
Graduation Year
2016 (10 years ago)
PAC ID
8729367438
Group Practice PAC ID
1355650300
Professional Enrollment ID
I20161122000109
Address ID
KY404221766DA1075XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for TIM GOOCH (APRN)

  • 92 PLAZA DR

    LAWRENCEBURG, KY 403429056

    Phone: (859) 319-8487

    Type: Mailing

  • 1064 N COLLEGE ST

    HARRODSBURG, KY 403302208

    Phone: (859) 734-3057

    Fax: (502) 839-3806

    Type: Location

  • 403, Meadowbrook Drive, Danville, Boyle County, Kentucky, 40422, United States

    DANVILLE, KY 40422

    Phone: (859) 319-8487

    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: 2016-11-22

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
I20161122000109INurse PractitionerKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes12672$0
99203New patient office or other outpatient visit, 30-44 minutes3434$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2019$0
View full utilization report →

Insurance plans in this area (ZIP 40342)

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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: 1355650300View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Does TIM GOOCH (APRN) have a public NPI I can cite?
Public records show TIM GOOCH (APRN) under NPI 1740635010.
Is TIM GOOCH (APRN)'s NPI status active today?
Active status means TIM GOOCH (APRN)'s NPI record is not deactivated in the public file.
Which specialty label fits TIM GOOCH (APRN)?
NPPES ties TIM GOOCH (APRN) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TIM GOOCH (APRN)?
TIM GOOCH (APRN) is associated with Lawrenceburg, Kentucky in the same public data insurers reference.
Why is information missing for TIM GOOCH (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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