TIMOTHY FETTERMAN (MD) – Family Medicine Physician, NPI 1427035583

TIMOTHY FETTERMAN (MD) is a healthcare provider. based in Strongsville, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35-071569 (OH). The NPI Number for TIMOTHY FETTERMAN (MD) is 1427035583

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY FETTERMAN (MD)
NPI
1427035583
Phone
Not provided
Address
18181 PEARL RD STE A206
Enumeration Date
29 December 2005
Last Update Date
3 June 2022

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
4408168000
Graduation Year
1995 (31 years ago)
PAC ID
9335222975
Group Practice PAC ID
8527964550
Professional Enrollment ID
I20080206000111
Address ID
OH441303417MI18697RDXX300

Contacts

Secure Messaging
tfetterman@direct.swgeneral.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,431 FAMILY PRACTICE in OH

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Provider Addresses for TIMOTHY FETTERMAN (MD)

  • Pearl Road, Strongsville, Cuyahoga County, Ohio, 44136, United States

    STRONGSVILLE, OH 441366950

    Phone:

    Type: Mailing

  • 27076 Bagley Road

    Olmsted Township, OH 44138

    Phone: (440) 816-8380

    Type: Location

  • PO BOX 638269

    CINCINNATI, OH 452636950

    Phone: (440) 816-5950

    Type: Mailing

  • 18780 BAGLEY RD STE 104

    CLEVELAND, OH 441303304

    Phone: (440) 816-5950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Halozyme Inc ($44).

Total Amount

$183

General + Research + Ownership

Payments

10

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-02-06

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
I20080206000111IFamily PracticeOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes491206$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7415$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5353$0
G0008Administration of influenza virus vaccine5250$0
90662Influenza vaccine split virus, preservative free4948$0
View full utilization report →

Insurance plans in this area (ZIP 44136)

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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: 8527964550View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Certified Registered Nurse Anesthetist (Crna)OH
Anesthesiology AssistantCO
-OH
Anesthesiology AssistantOH
-OH
-OH

Reviews

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Frequently asked questions

Is there an official ID for TIMOTHY FETTERMAN (MD) in U.S. healthcare records?
The official identifier for TIMOTHY FETTERMAN (MD) is NPI 1427035583.
Is there an active status for TIMOTHY FETTERMAN (MD)?
For scheduling context, TIMOTHY FETTERMAN (MD) is shown as active in the registry.
What clinical focus is listed for TIMOTHY FETTERMAN (MD)?
At a glance, TIMOTHY FETTERMAN (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is TIMOTHY FETTERMAN (MD) registered?
Use Strongsville, Ohio as the headline location for TIMOTHY FETTERMAN (MD) here.
When was this NPI issued?
Enumeration for TIMOTHY FETTERMAN (MD) is noted as December 29, 2005 where the registry provides it.

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