TIMOTHY PLANK (DO) – Family Medicine Physician, NPI 1003802141
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for TIMOTHY PLANK (DO)
West Sprague Road, Middleburg Heights, Cuyahoga County, Ohio, 44136, United States
MIDDLEBURG HEIGHTS, OH 441306300
Phone: (440) 826-0500
Fax: (440) 826-0501
Type: Mailing
333 Buckeye Blvd Ste B
Port Clinton, OH 434522475
Phone: (567) 867-5174
Type: Location
420 Superior St # D
Sandusky, OH 448701849
Phone: (419) 626-5623
Type: Location
316 Mason Rd W
Milan, OH 448469500
Phone: (567) 867-5174
Type: Location
117 Addison St
Kelleys Island, OH 434386500
Phone: (567) 867-5174
Type: Location
501 Superior St
Sandusky, OH 44870
Phone: (567) 304-3900
Type: Location
1250 Sanford St
Vermilion, OH 440891577
Phone: (567) 867-5174
Type: Location
34 Executive Dr
Norwalk, OH 448572490
Phone: (567) 867-5174
Type: Location
221 W Parish St
Sandusky, OH 448704877
Phone: (567) 867-5174
Type: Location
420 SUPERIOR ST
SANDUSKY, OH 448701849
Phone: (419) 626-5623
Fax: (419) 626-8778
Type: Mailing
10325, Dewhurst Road, Elyria, Eaton Township, Lorain County, Ohio, 44035, United States
ELYRIA, OH 44035
Phone: (440) 414-9260
Fax: (440) 365-8826
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: Gilead Sciences, Inc. ($74).
Total Amount
$137
General + Research + Ownership
Payments
4
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-11-01
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 |
|---|---|---|---|---|
| I20051101000281 | I | General Practice | OH | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 60 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 25 | $0 |
Insurance plans in this area (ZIP 44130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | OH | 81002 | Urinalysis, manual test | 130 | 117 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Clinical Psychologist | OH | |
| Nurse Practitioner | OH |
Reviews
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