TIMOTHY J. PRITCHARD (M.D.) – Colon & Rectal Surgery Physician, NPI 1225126824
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for TIMOTHY J. PRITCHARD (M.D.)
PO BOX 781389
DETROIT, MI 482781389
Phone: (440) 354-0377
Fax: (440) 354-9368
Type: Mailing
Mentor Avenue, Mentor, Lake County, Ohio, 44060, United States
MENTOR, OH 440608702
Phone: (440) 354-0377
Fax: (440) 354-9368
Type: Location
7590 AUBURN ROAD, SUITE 014
ATTN: MED STAFF
CONCORD TWP., OH 440779176
Phone: (440) 354-1899
Fax: (440) 354-1845
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2011-07-21
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 |
|---|---|---|---|---|
| I20110721000309 | I | Colorectal Surgery (Proctology) | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $0 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 27 | 27 | $0 |
| 46600 | Diagnostic exam of anus using an endoscope | 17 | 14 | $0 |
| 46221 | Removal of external hemorrhoids by rubber banding | 16 | 14 | $0 |
Insurance plans in this area (ZIP 48278)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| COLORECTAL SURGERY (PROCTOLOGY) | OH | 46600 | Diagnostic examination of the anus using an endoscope | 27 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Physician Assistant | OH | |
| - | OH | |
| - | OH | |
| Family Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.