TIMOTHY J PELKEY (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1942296785

TIMOTHY J PELKEY (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 4301072203 (MI). The NPI Number for TIMOTHY J PELKEY (MD) is 1942296785

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J PELKEY (MD)
NPI
1942296785
Phone
(166) 856-2586
Address
200 Jefferson Ave SE
Enumeration Date
27 September 2005
Last Update Date
14 July 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6166856258
Graduation Year
1993 (33 years ago)
PAC ID
5395755268
Group Practice PAC ID
5698677573
Professional Enrollment ID
I20060424000242
Address ID
MI495034502GR200XXSEXX400

Contacts

Secure Messaging
tpelkey186730@direct.trinity-health.org
Secure Messaging
tpelkey108041@direct.metrohealth.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

573 PATHOLOGY in MI

Provider Addresses for TIMOTHY J PELKEY (MD)

  • 200 Jefferson Ave SE

    Grand Rapids, MI 495034502

    Phone: (166) 856-2586

    Type: Location

  • Lima, Pellegrini, Villa Rosa, Partido del Pilar, Buenos Aires, B1629 PILAR, Argentina

    LIMA, OH 458021629

    Phone: (877) 378-4293

    Fax: (419) 223-2726

    Type: Mailing

  • Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States

    WYOMING, MI 495199606

    Phone: (616) 252-7166

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-04-24

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
I20060424000242IPathologyMITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity571287$0
88341Special stained specimen slides to examine tissue, each additional procedure18941$0
88342Special stained specimen slides to examine tissue, initial procedure9677$0
88307Pathology examination of tissue using a microscope, moderately high complexity5441$0
88112Cell examination of specimen, selective cellular enhancement technique5048$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

TIMOTHY J PELKEY (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMI88304Pathology examination of tissue using a microscope, moderately low complexity2827
PATHOLOGYMI88312Special stained specimen slides to identify organisms including interpretation and report6860

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: 5698677573View full group profile
NameSpecialtyState
P A T H O L O G YMI
P A T H O L O G YGA
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YMI
P A T H O L O G YMI
P A T H O L O G YMI

Reviews

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Frequently asked questions

Can I cross-check TIMOTHY J PELKEY (MD) using NPI 1942296785?
NPI 1942296785 belongs to TIMOTHY J PELKEY (MD); compare other details if you need extra assurance.
Is TIMOTHY J PELKEY (MD) still an active registrant?
TIMOTHY J PELKEY (MD) carries an active NPI according to the public dataset.
How would a patient describe TIMOTHY J PELKEY (MD)'s focus?
For TIMOTHY J PELKEY (MD), the primary taxonomy reads as Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is TIMOTHY J PELKEY (MD) located near Grand Rapids?
TIMOTHY J PELKEY (MD) currently maps to Grand Rapids, Michigan in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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