TIMOTHY J MCDERMOTT (MD) – Interventional Cardiology Physician, NPI 1972613487

TIMOTHY J MCDERMOTT (MD) is a healthcare provider. based in Osage beach, Missouri. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. E7468 (AR). The NPI Number for TIMOTHY J MCDERMOTT (MD) is 1972613487

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J MCDERMOTT (MD)
NPI
1972613487
Phone
(573) 302-3950
Address
1193 Highway Kk
Enumeration Date
30 August 2006
Last Update Date
1 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4797578099
Graduation Year
1984 (42 years ago)
PAC ID
0547325425
Group Practice PAC ID
3577503689
Professional Enrollment ID
I20120626000184
Address ID
AR727123217BE3000XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:19State licenses:4Digital endpointsOther names

783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO

Provider Addresses for TIMOTHY J MCDERMOTT (MD)

  • 1193 Highway Kk

    Suite A

    Osage Beach, MO 65065

    Phone: (573) 302-3950

    Fax: (573) 302-3951

    Type: Location

  • Jefferson Avenue, Downtown, Toledo, Lucas County, Ohio, 43659, United States

    TOLEDO, OH 436047102

    Phone:

    Type: Mailing

  • 415, Lone Oak Road, Paducah, McCracken County, Kentucky, 42001, United States

    PADUCAH, KY 42003

    Phone: (270) 442-0103

    Fax: (270) 442-0109

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $4,053.

Total Amount is formed as General ($4,053) + Research ($0) + Ownership ($0) = $4,053.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($2,184).

Total Amount

$4,053

General + Research + Ownership

Payments

116

Total payment records

General Amount

$4,053

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2018-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120626000184ICardiovascular Disease (Cardiology)ARTBD
I20180918002669IInterventional CardiologyKYTBD

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 only2,9971,833$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function509496$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes387195$0
99213Established patient office or other outpatient visit, 20-29 minutes370305$0
99214Established patient office or other outpatient visit, 30-39 minutes351263$0
View full utilization report →

Insurance plans in this area (ZIP 65065)

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Provider's Procedures

TIMOTHY J MCDERMOTT (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYMO78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies118116
INTERVENTIONAL CARDIOLOGYMO85610Blood test, clotting time19218
INTERVENTIONAL CARDIOLOGYMO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report15691064
INTERVENTIONAL CARDIOLOGYMO93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart7070

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: 3577503689View full group profile
NameSpecialtyState
Nurse PractitionerAR
Family PracticeAR
Family PracticeCA
Physician AssistantAR
-AR
Family PracticeAR
P O D I A T R YAR
Nurse PractitionerAR
Nurse PractitionerAR
Orthopedic SurgeryAR

Reviews

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Frequently asked questions

What is the standard ID for TIMOTHY J MCDERMOTT (MD) in the U.S.?
In the U.S., TIMOTHY J MCDERMOTT (MD) is identified by NPI 1972613487.
Quick check: is TIMOTHY J MCDERMOTT (MD) active?
Public NPPES data shows TIMOTHY J MCDERMOTT (MD) with an active NPI status right now.
What type of care does TIMOTHY J MCDERMOTT (MD) provide?
TIMOTHY J MCDERMOTT (MD)'s profile centers on Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit TIMOTHY J MCDERMOTT (MD) in Osage Beach, Missouri?
For routing, start with Osage Beach, Missouri for TIMOTHY J MCDERMOTT (MD), then verify phone and hours locally.
Can I export TIMOTHY J MCDERMOTT (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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