DR. TIMOTHY J EDDY (DO) – Family Medicine Physician, NPI 1376549584

DR. TIMOTHY J EDDY (DO) is a healthcare provider. based in Gardner, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 80830 (MA). The NPI Number for DR. TIMOTHY J EDDY (DO) is 1376549584

Main info

Male
35 Years Of Experience
Name
DR. TIMOTHY J EDDY (DO)
NPI
1376549584
Phone
(978) 630-5030
Address
266 MAIN ST
Enumeration Date
22 June 2005
Last Update Date
26 September 2025

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
9788788100
Graduation Year
1991 (35 years ago)
PAC ID
4880638311
Group Practice PAC ID
8729074992
Professional Enrollment ID
I20050615000988
Address ID
MA014201914FI326XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for DR. TIMOTHY J EDDY (DO)

  • Rite Aid, 232;240;266, Main Street, Gardner, Worcester County, Massachusetts, 01440, United States

    GARDNER, MA 014402927

    Phone: (978) 630-5030

    Type: Mailing

  • 529 TIMPANY BLVD

    GARDNER, MA 014403451

    Phone: (978) 878-8100

    Fax: (978) 410-6109

    Type: Location

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: 2005-06-15

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
I20050615000988IFamily PracticeMATBD

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
87804Detection test by immunoassay with direct visual observation for influenza virus2722$0
81002Urinalysis, manual test1515$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1515$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1313$0
View full utilization report →

Insurance plans in this area (ZIP 01440)

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Provider's Procedures

DR. TIMOTHY J EDDY (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMA83036Hemoglobin A1C level5734

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: 8729074992View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. TIMOTHY J EDDY (DO) in U.S. healthcare records?
The official identifier for DR. TIMOTHY J EDDY (DO) is NPI 1376549584.
Is DR. TIMOTHY J EDDY (DO) still an active registrant?
DR. TIMOTHY J EDDY (DO) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. TIMOTHY J EDDY (DO)?
At a glance, DR. TIMOTHY J EDDY (DO) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. TIMOTHY J EDDY (DO) associated with Gardner?
Public fields place DR. TIMOTHY J EDDY (DO) around Gardner, Massachusetts. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. TIMOTHY J EDDY (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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