TIMOTHY J SLOAN (PA-C) – Medical Physician Assistant, NPI 1265623425

TIMOTHY J SLOAN (PA-C) is a healthcare provider. based in Okemos, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601003787 (MI). The NPI Number for TIMOTHY J SLOAN (PA-C) is 1265623425

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J SLOAN (PA-C)
NPI
1265623425
Phone
(517) 349-3303
Address
3413 WOODS EDGE DRIVE
Enumeration Date
5 August 2007
Last Update Date
2 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173493303
Graduation Year
2002 (24 years ago)
PAC ID
0244210201
Group Practice PAC ID
9739143827
Professional Enrollment ID
I20040721001197
Address ID
MI488645901OK3413XEDGE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for TIMOTHY J SLOAN (PA-C)

  • 3413 WOODS EDGE DRIVE

    OKEMOS, MI 48864

    Phone: (517) 349-3303

    Fax: (547) 349-4374

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 166 Open Payments records for all available years, with a total value of $3,245.

Total Amount is formed as General ($3,245) + Research ($0) + Ownership ($0) = $3,245.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($502).

Total Amount

$3,245

General + Research + Ownership

Payments

166

Total payment records

General Amount

$3,245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2004-07-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040721001197IPhysician AssistantMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48864)

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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: 9739143827View full group profile
NameSpecialtyState
Nuclear MedicineMI
Family Practice, Osteopathic Manipulative MedicineMI
Cardiovascular Disease (Cardiology), Nuclear MedicineMI
Family PracticeMI
-MI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Nuclear MedicineMI
Nurse PractitionerMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What number should I use to identify TIMOTHY J SLOAN (PA-C) for billing?
Administrative and clinical systems typically use NPI 1265623425 for TIMOTHY J SLOAN (PA-C).
Does the public listing show TIMOTHY J SLOAN (PA-C) as active?
TIMOTHY J SLOAN (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does TIMOTHY J SLOAN (PA-C) provide?
TIMOTHY J SLOAN (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TIMOTHY J SLOAN (PA-C)?
TIMOTHY J SLOAN (PA-C) is associated with Okemos, Michigan in the same public data insurers reference.
Who maintains TIMOTHY J SLOAN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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