TIMOTHY W CHILDERS (PA-C) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1124078555
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for TIMOTHY W CHILDERS (PA-C)
4100 EMBASSY DR SE STE 200
GRAND RAPIDS, MI 495462416
Phone: (616) 975-1845
Type: Mailing
300 N PATTERSON RD
REED CITY, MI 496778041
Phone: (231) 796-8691
Type: Location
Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
MC 845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
Sheldon Boulevard Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States
SUITE 101
GRAND RAPIDS, MI 495034224
Phone: (616) 391-2420
Fax: (616) 391-4425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 131 Open Payments records for all available years, with a total value of $2,532.
Total Amount is formed as General ($2,532) + Research ($0) + Ownership ($0) = $2,532.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($371).
Total Amount
$2,532
General + Research + Ownership
Payments
131
Total payment records
General Amount
$2,532
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $371 |
| AstraZeneca Pharmaceuticals LP | $296 |
| Novo Nordisk Inc | $275 |
| GlaxoSmithKline, LLC. | $140 |
| ITI, Inc. | $133 |
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: 2006-01-25
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 |
|---|---|---|---|---|
| I20060125000357 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 20 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 49546)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 83036 | Hemoglobin A1C level | 23 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| Interventional Radiology | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine, Geriatric Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Hospitalist, Internal Medicine | MI |
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