DR. TIMOTHY WAYNE MUMMERT (D.O.) – Internal Medicine Physician, NPI 1265426993
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
Loading map...
Provider Addresses for DR. TIMOTHY WAYNE MUMMERT (D.O.)
PO BOX 40
PORT CLINTON, OH 434520040
Phone: (419) 734-5587
Fax: (419) 732-1553
Type: Mailing
1250, Fulton Street, Port Clinton, Ottawa County, Ohio, 43452, United States
PORT CLINTON, OH 434529296
Phone: (419) 734-5587
Fax: (419) 732-1553
Type: Location
2861 E HARBOR RD
PORT CLINTON, OH 434522665
Phone: (419) 734-5587
Fax: (419) 732-1553
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2004-11-16
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 |
|---|---|---|---|---|
| I20041116000090 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 482 | 223 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 86 | $0 |
| 83036 | Hemoglobin a1c level | 109 | 59 | $0 |
| G0008 | Administration of influenza virus vaccine | 50 | 50 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 49 | 49 | $0 |
Insurance plans in this area (ZIP 43452)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OH | 83036 | Hemoglobin A1C level | 47 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| Family Practice | OH | |
| General Practice | OH | |
| Family Practice | OH | |
| - | OH | |
| General Surgery | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.