TIMOTHY JON STORER (MD) – Dermatology Physician, NPI 1376501734
Dermatology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for TIMOTHY JON STORER (MD)
PO BOX 7527
DUBLIN, OH 430170727
Phone: (740) 362-0794
Fax: (740) 368-4118
Type: Mailing
12 LEXINGTON BLVD
DELAWARE, OH 430154071
Phone: (740) 362-0794
Fax: (740) 368-4118
Type: Location
3595 Olentangy River Rd
Columbus, OH 432143440
Phone: (614) 566-5456
Fax: (614) 566-6902
Type: Location
L, Defiance Drive, Buckeye Village, Columbus, Sharon, Franklin, Ohio, 43210, United States
COLUMBUS, OH 432600001
Phone: (740) 383-7927
Fax: (740) 383-7942
Type: Mailing
12, Lexington Boulevard, Delaware, Delaware County, Ohio, 43015, United States
DELAWARE, OH 43015
Phone: (740) 362-0794
Fax: (740) 368-4118
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 193 Open Payments records for all available years, with a total value of $16,434.
Total Amount is formed as General ($16,434) + Research ($0) + Ownership ($0) = $16,434.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($7,101).
Total Amount
$16,434
General + Research + Ownership
Payments
193
Total payment records
General Amount
$16,434
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $7,101 |
| E.R. Squibb & Sons, L.L.C. | $5,692 |
| PFIZER INC. | $883 |
| ABBVIE INC. | $661 |
| Journey Medical Corporation | $365 |
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: 2005-07-28
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 |
|---|---|---|---|---|
| I20050728001284 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,390 | 356 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,117 | 937 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 691 | 539 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 322 | 265 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 260 | 225 | $0 |
Insurance plans in this area (ZIP 43017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | OH | 17003 | Destruction of 2-14 skin growths | 1476 | 413 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH |
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