TIMOTHY DEKKER (MD) – Sports Medicine (Family Medicine) Physician, NPI 1538516646
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
Provider Addresses for TIMOTHY DEKKER (MD)
13350 24 Mile Rd Ste 700
Shelby Township, MI 483151827
Phone: (586) 254-2777
Type: Location
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone:
Type: Mailing
1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 483071871
Phone: (248) 650-2400
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $2,267.
Total Amount is formed as General ($2,267) + Research ($0) + Ownership ($0) = $2,267.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Pinnacle, Inc ($1,123).
Total Amount
$2,267
General + Research + Ownership
Payments
23
Total payment records
General Amount
$2,267
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pinnacle, Inc | $1,123 |
| Arthrex, Inc. | $1,070 |
| ConvaTec Inc. | $29 |
| Aroa Biosurgery Incorporated | $28 |
| Gilead Sciences, Inc. | $17 |
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: 2020-09-17
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 |
|---|---|---|---|---|
| I20200917003178 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 513 | 385 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 222 | 221 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 218 | 121 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 185 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 172 | 148 | $0 |
Insurance plans in this area (ZIP 48315)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Family Practice | MI | |
| - | MI | |
| Physician Assistant | OH |
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