TIMOTHY J ISMOND (D.O.) – Internal Medicine Physician, NPI 1649277153

TIMOTHY J ISMOND (D.O.) is a healthcare provider. based in Petoskey, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101008604 (MI). The NPI Number for TIMOTHY J ISMOND (D.O.) is 1649277153

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J ISMOND (D.O.)
NPI
1649277153
Phone
(231) 487-2460
Address
560 W MITCHELL ST
Enumeration Date
30 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9897726700
Graduation Year
1983 (43 years ago)
PAC ID
3678542859
Group Practice PAC ID
6103733092
Professional Enrollment ID
I20051215000391
Address ID
MI488583257MT1221XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for TIMOTHY J ISMOND (D.O.)

  • Internal Medicine of Northern Michigan, 560, West Mitchell Street, Petoskey, Emmet County, Michigan, 49770, United States

    SUITE 300

    PETOSKEY, MI 497702275

    Phone: (231) 487-2460

    Fax: (231) 487-6596

    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 5 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Amgen Inc. ($43).

Total Amount

$73

General + Research + Ownership

Payments

5

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$43
Lilly USA, LLC$30
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: 2005-12-15

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
I20051215000391IInternal MedicineMITBD

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 49770)

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Provider's Procedures

TIMOTHY J ISMOND (D.O.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI85610Blood test, clotting time18519

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: 6103733092View full group profile
NameSpecialtyState
General SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
U R O L O G YTN
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Internal MedicineMI
Family PracticeMI
Infectious Disease, Internal MedicineMI

Reviews

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Frequently asked questions

Can I cross-check TIMOTHY J ISMOND (D.O.) using NPI 1649277153?
NPI 1649277153 belongs to TIMOTHY J ISMOND (D.O.); compare other details if you need extra assurance.
Is there an active status for TIMOTHY J ISMOND (D.O.)?
For scheduling context, TIMOTHY J ISMOND (D.O.) is shown as active in the registry.
What area of care is associated with TIMOTHY J ISMOND (D.O.)?
TIMOTHY J ISMOND (D.O.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is TIMOTHY J ISMOND (D.O.) registered?
Use Petoskey, Michigan as the headline location for TIMOTHY J ISMOND (D.O.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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