TIMOTHY JON LEDERER – Family Nurse Practitioner, NPI 1033695960

TIMOTHY JON LEDERER is a healthcare provider. based in Forest hill, Maryland. specializing in Family Nurse Practitioner. They hold a License No. R179150 (MD). The NPI Number for TIMOTHY JON LEDERER is 1033695960

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY JON LEDERER
NPI
1033695960
Phone
(410) 838-8463
Address
9 Newport Dr Ste 200
Enumeration Date
13 July 2018
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8773776112
Graduation Year
2018 (8 years ago)
PAC ID
2365781291
Group Practice PAC ID
1254616451
Professional Enrollment ID
I20190311002079
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for TIMOTHY JON LEDERER

  • 9 Newport Dr Ste 200

    Forest Hill, MD 210501693

    Phone: (410) 838-8463

    Type: Location

  • 100 WALTER WARD BLVD STE 300

    ABINGDON, MD 210091286

    Phone: (410) 777-8971

    Type: Mailing

  • 320 Foreland Garth

    Abingdon, MD 210093092

    Phone: (410) 245-7673

    Type: Location

  • 320 FORELAND GARTH

    ABINGDON, MD 210093092

    Phone: (410) 245-7673

    Type: Mailing

  • 9512 HARFORD RD STE 4

    PARKVILLE, MD 212343127

    Phone: (410) 665-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $2,755.

Total Amount is formed as General ($2,755) + Research ($0) + Ownership ($0) = $2,755.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($619).

Total Amount

$2,755

General + Research + Ownership

Payments

117

Total payment records

General Amount

$2,755

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2019-03-11

PECOS data refreshed: 2026-06-15

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
I20190311002079INurse PractitionerMDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes448229$0
96127Assessment of emotional or behavioral problems16897$0
99204New patient office or other outpatient visit, 45-59 minutes9393$0
98980Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month3329$0
98981Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month2116$0
View full utilization report →

Insurance plans in this area (ZIP 21050)

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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: 1254616451View full group profile

Reviews

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Frequently asked questions

How is TIMOTHY JON LEDERER identified in CMS data?
CMS-hosted NPPES data lists TIMOTHY JON LEDERER with NPI 1033695960.
Does CMS list TIMOTHY JON LEDERER as active?
Yes — TIMOTHY JON LEDERER is active in the NPI listing used on this page.
What is TIMOTHY JON LEDERER's primary classification?
Family Nurse Practitioner is the headline specialty for TIMOTHY JON LEDERER here. Clinical services aligned with this taxonomy classification.
Does TIMOTHY JON LEDERER list a practice location?
Patients near Forest Hill, Maryland may find TIMOTHY JON LEDERER in results; validate coverage separately.
Why does TIMOTHY JON LEDERER have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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