TIMOTHY VICTOR SMITH – Family Medicine Physician, NPI 1295828820

TIMOTHY VICTOR SMITH is a healthcare provider. based in Holland, Michigan. specializing in FAMILY PRACTICE. They hold a License No. 4301041229 (MI). The NPI Number for TIMOTHY VICTOR SMITH is 1295828820

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY VICTOR SMITH
NPI
1295828820
Phone
(616) 396-6516
Address
382 N 120TH AVE
Enumeration Date
2 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6163966516
Graduation Year
1978 (48 years ago)
PAC ID
2365452364
Group Practice PAC ID
0749290740
Professional Enrollment ID
I20060505000040
Address ID
MI494242169HO382XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for TIMOTHY VICTOR SMITH

  • 120th Avenue, Holland, Holland Charter Township, Ottawa County, Michigan, 49423, United States

    HOLLAND, MI 49424

    Phone: (616) 396-6516

    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 4 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: PFIZER INC. ($44).

Total Amount

$88

General + Research + Ownership

Payments

4

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2006-05-05

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
I20060505000040IFamily PracticeMITBD

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 minutes13684$0
99213Established patient office or other outpatient visit, 20-29 minutes6748$0
83036Hemoglobin a1c level3727$0
View full utilization report →

Insurance plans in this area (ZIP 49424)

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Provider's Procedures

TIMOTHY VICTOR SMITH performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI20610Aspiration and/or injection of large joint or joint capsule2717
FAMILY MEDICINEMI81002Urinalysis, manual test1111

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: 0749290740View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
Family PracticeMI
Family PracticeMI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Family PracticeMI
Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

How do I look up TIMOTHY VICTOR SMITH by NPI?
Use NPI 1295828820 when you need to reference TIMOTHY VICTOR SMITH in forms, claims, or directories.
Is TIMOTHY VICTOR SMITH's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does TIMOTHY VICTOR SMITH work in?
You can think of TIMOTHY VICTOR SMITH as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place TIMOTHY VICTOR SMITH?
The snapshot lists Holland, Michigan for TIMOTHY VICTOR SMITH; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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