TIMOTHY O. BERKLEY (PA-C) – Physician Assistant, NPI 1932254646

TIMOTHY O. BERKLEY (PA-C) is a healthcare provider. based in Saginaw, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601003286 (MI). The NPI Number for TIMOTHY O. BERKLEY (PA-C) is 1932254646

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY O. BERKLEY (PA-C)
NPI
1932254646
Phone
(989) 754-3000
Address
1015 S WASHINGTON AVE
Enumeration Date
24 January 2007
Last Update Date
3 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8085224000
Graduation Year
1999 (27 years ago)
PAC ID
7810954807
Group Practice PAC ID
6305759754
Professional Enrollment ID
I20160617001878
Address ID
HI968133097HO888XXSTXX403

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for TIMOTHY O. BERKLEY (PA-C)

  • 1015, South Washington Avenue, Saginaw, Saginaw County, Michigan, 48601, United States

    SAGINAW, MI 486012556

    Phone: (989) 754-3000

    Fax: (989) 755-1365

    Type: Mailing

  • 3288 MOANALUA RD

    HONOLULU, HI 968191469

    Phone: (808) 432-0000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $761.

Total Amount is formed as General ($761) + Research ($0) + Ownership ($0) = $761.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Getinge USA Sales, LLC ($761).

Total Amount

$761

General + Research + Ownership

Payments

16

Total payment records

General Amount

$761

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Getinge USA Sales, LLC$761
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: 2016-06-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160617001878IPhysician AssistantHITBD

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 48601)

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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: 6305759754View full group profile

Reviews

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Frequently asked questions

What number should I use to identify TIMOTHY O. BERKLEY (PA-C) for billing?
Administrative and clinical systems typically use NPI 1932254646 for TIMOTHY O. BERKLEY (PA-C).
Is TIMOTHY O. BERKLEY (PA-C)'s NPI status active today?
Active status means TIMOTHY O. BERKLEY (PA-C)'s NPI record is not deactivated in the public file.
Which specialty label fits TIMOTHY O. BERKLEY (PA-C)?
NPPES ties TIMOTHY O. BERKLEY (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is TIMOTHY O. BERKLEY (PA-C) tied to Saginaw, Michigan?
If you are local to Saginaw, Michigan, TIMOTHY O. BERKLEY (PA-C) may be relevant to your search.
Why is information missing for TIMOTHY O. BERKLEY (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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