TIMOTHY CARLISLE (PA) – Medical Physician Assistant, NPI 1487752440

TIMOTHY CARLISLE (PA) is a healthcare provider. based in Portage, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601004857 (MI). The NPI Number for TIMOTHY CARLISLE (PA) is 1487752440

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY CARLISLE (PA)
NPI
1487752440
Phone
(616) 975-1845
Address
PO BOX 566
Enumeration Date
20 September 2006
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692455862
Graduation Year
2006 (20 years ago)
PAC ID
3870593239
Group Practice PAC ID
0547173478
Professional Enrollment ID
I20070109000098
Address ID
MI490173307BA300XXFLOO701
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for TIMOTHY CARLISLE (PA)

  • PO BOX 566

    PORTAGE, MI 49081

    Phone: (616) 975-1845

    Type: Mailing

  • 900 PEELER ST

    KALAMAZOO, MI 490082300

    Phone: (269) 342-7827

    Type: Location

  • Battle Creek, Calhoun County, Michigan, United States

    BATTLE CREEK, MI 49081

    Phone: (269) 963-5048

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-08-03 • Largest payer in this snapshot: PFIZER INC. ($24).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-03

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: 2007-01-09

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
I20070109000098IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only110105$0
View full utilization report →

Insurance plans in this area (ZIP 49081)

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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: 0547173478View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
Clinical Social WorkerMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
Physician AssistantMI
-MI
Cardiovascular Disease (Cardiology)MI
Clinical Social WorkerMI
U R O L O G YMI

Reviews

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Frequently asked questions

What number should I use to identify TIMOTHY CARLISLE (PA) for billing?
Administrative and clinical systems typically use NPI 1487752440 for TIMOTHY CARLISLE (PA).
Is TIMOTHY CARLISLE (PA)'s NPI status active today?
Active status means TIMOTHY CARLISLE (PA)'s NPI record is not deactivated in the public file.
What type of care does TIMOTHY CARLISLE (PA) provide?
TIMOTHY CARLISLE (PA)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TIMOTHY CARLISLE (PA)?
TIMOTHY CARLISLE (PA) is associated with Portage, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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