MR. TIMOTHY SCOTT JR. KEIDEL (DO) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1710480041

MR. TIMOTHY SCOTT JR. KEIDEL (DO) is a healthcare provider. based in Columbus, Ohio. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials DO. They hold a License No. OS20246 (FL). The NPI Number for MR. TIMOTHY SCOTT JR. KEIDEL (DO) is 1710480041

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MR. TIMOTHY SCOTT JR. KEIDEL (DO)
NPI
1710480041
Phone
(614) 788-2510
Address
5131 BEACON HILL RD STE 300
Enumeration Date
13 March 2018
Last Update Date
28 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527325042
Graduation Year
2018 (8 years ago)
PAC ID
8123375912
Group Practice PAC ID
4587619036
Professional Enrollment ID
I20230829001745
Address ID
FL344717765OC2120XPLXX300

Contacts

Secure Messaging
ocalaearnoseandthroatspecialists@oent.allscriptsdirest.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

83 OSTEOPATHIC MANIPULATIVE MEDICINE in OH

Provider Addresses for MR. TIMOTHY SCOTT JR. KEIDEL (DO)

  • 5131 BEACON HILL RD STE 300

    COLUMBUS, OH 432284442

    Phone: (614) 788-2510

    Fax: (614) 788-2529

    Type: Mailing

  • 2120 SW 22ND PL

    OCALA, FL 344717765

    Phone: (352) 732-5042

    Fax: (527) 326-0313

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $569.

Total Amount is formed as General ($569) + Research ($0) + Ownership ($0) = $569.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: AERIN MEDICAL INC. ($212).

Total Amount

$569

General + Research + Ownership

Payments

26

Total payment records

General Amount

$569

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2023-08-29

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
I20230829001745IOsteopathic Manipulative MedicineFLTBD

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
99204New patient office or other outpatient visit, 45-59 minutes128128$0
92567Test to assess middle ear function116106$0
99214Established patient office or other outpatient visit, 30-39 minutes9674$0
92557Comprehensive hearing and speech recognition test9488$0
99203New patient office or other outpatient visit, 30-44 minutes8787$0
View full utilization report →

Insurance plans in this area (ZIP 43228)

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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: 4587619036View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
Physician AssistantFL
Allergy/Immunology, OtolaryngologyFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Physician AssistantFL

Reviews

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Frequently asked questions

How is MR. TIMOTHY SCOTT JR. KEIDEL (DO) identified in CMS data?
CMS-hosted NPPES data lists MR. TIMOTHY SCOTT JR. KEIDEL (DO) with NPI 1710480041.
Does the file indicate MR. TIMOTHY SCOTT JR. KEIDEL (DO) is practicing under active NPI?
Directory data currently reports MR. TIMOTHY SCOTT JR. KEIDEL (DO) as active.
What healthcare role does MR. TIMOTHY SCOTT JR. KEIDEL (DO) hold?
Scheduling teams often label MR. TIMOTHY SCOTT JR. KEIDEL (DO) under Plastic Surgery within the Head & Neck (Otolaryngology) Physician. Clinical services aligned with this taxonomy classification.
Where is MR. TIMOTHY SCOTT JR. KEIDEL (DO) based?
MR. TIMOTHY SCOTT JR. KEIDEL (DO) is tied to Columbus, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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