DR. TIMOTHY GERARD JR. PETRIE (M.D.) – Clinical Cardiac Electrophysiology Physician, NPI 1578959946

DR. TIMOTHY GERARD JR. PETRIE (M.D.) is a healthcare provider. based in Dayton, Ohio. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 35.148501 (OH). The NPI Number for DR. TIMOTHY GERARD JR. PETRIE (M.D.) is 1578959946

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY GERARD JR. PETRIE (M.D.)
NPI
1578959946
Phone
(937) 208-2004
Address
128 E APPLE ST
Enumeration Date
12 April 2015
Last Update Date
21 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
4408162708
Graduation Year
2015 (11 years ago)
PAC ID
8628382587
Group Practice PAC ID
8527964550
Professional Enrollment ID
I20230809001342
Address ID
OH441303332MI7255XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

218 CARDIAC ELECTROPHYSIOLOGY in OH

Provider Addresses for DR. TIMOTHY GERARD JR. PETRIE (M.D.)

  • 128 E APPLE ST

    2ND FLOOR

    DAYTON, OH 454092902

    Phone: (937) 208-2004

    Fax: (937) 208-8828

    Type: Mailing

  • 7255 OLD OAK BLVD STE C208

    MIDDLEBURG HEIGHTS, OH 441303300

    Phone: (440) 816-4647

    Fax: (440) 243-8480

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $4,088.

Total Amount is formed as General ($4,088) + Research ($0) + Ownership ($0) = $4,088.

Last reported payment date: 2024-11-24 • Largest payer in this snapshot: Medtronic, Inc. ($3,677).

Total Amount

$4,088

General + Research + Ownership

Payments

33

Total payment records

General Amount

$4,088

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-24

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: 2023-08-09

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
I20230809001342ICardiac ElectrophysiologyOHTBD

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 only556408$0
93224Electrocardiogram (ecg) 2-day continuous with review and report by health care professional9084$0
99214Established patient office or other outpatient visit, 30-39 minutes5348$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5135$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4341$0
View full utilization report →

Insurance plans in this area (ZIP 45409)

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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

How do I look up DR. TIMOTHY GERARD JR. PETRIE (M.D.) by NPI?
Use NPI 1578959946 when you need to reference DR. TIMOTHY GERARD JR. PETRIE (M.D.) in forms, claims, or directories.
Is DR. TIMOTHY GERARD JR. PETRIE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. TIMOTHY GERARD JR. PETRIE (M.D.) list a primary specialty?
If you are matching referrals, note Clinical Cardiac Electrophysiology Physician for DR. TIMOTHY GERARD JR. PETRIE (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. TIMOTHY GERARD JR. PETRIE (M.D.) practice in Ohio?
You will see Dayton, Ohio on file for DR. TIMOTHY GERARD JR. PETRIE (M.D.) alongside any extra practice locations.
Is DR. TIMOTHY GERARD JR. PETRIE (M.D.) a real provider?
This page reflects official NPPES data for NPI 1578959946. Always confirm identity and privileges with the practice and licensing boards.

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