TIMOTHY L GRODE (MD) – Pulmonary Disease Physician, NPI 1639164163

TIMOTHY L GRODE (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 12230 (OK). The NPI Number for TIMOTHY L GRODE (MD) is 1639164163

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY L GRODE (MD)
NPI
1639164163
Phone
(405) 752-3162
Address
4401 W MEMORIAL RD
Enumeration Date
12 September 2005
Last Update Date
17 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052549676
Graduation Year
1978 (48 years ago)
PAC ID
1658277603
Group Practice PAC ID
1153468921
Professional Enrollment ID
I20031210000499
Address ID
OK731208316OK13313CXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

166 PULMONARY DISEASE in OK

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Provider Addresses for TIMOTHY L GRODE (MD)

  • 4401, West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States

    SUITE 140

    OKLAHOMA CITY, OK 731341785

    Phone: (405) 752-3162

    Fax: (405) 936-5211

    Type: Mailing

  • 13313, North Meridian Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73120, United States

    BUILDING D

    OKLAHOMA CITY, OK 731208380

    Phone: (405) 755-4290

    Fax: (405) 755-7773

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 99 Open Payments records for all available years, with a total value of $2,186.

Total Amount is formed as General ($2,186) + Research ($0) + Ownership ($0) = $2,186.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Insmed, Inc. ($504).

Total Amount

$2,186

General + Research + Ownership

Payments

99

Total payment records

General Amount

$2,186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2003-12-10

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
I20031210000499IPulmonary DiseaseOKTBD

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 minutes8786$0
99214Established patient office or other outpatient visit, 30-39 minutes5644$0
99213Established patient office or other outpatient visit, 20-29 minutes3936$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2626$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 73134)

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Provider's Procedures

TIMOTHY L GRODE (MD) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEOK31622Diagnostic examination of lung airways using an endoscope2019

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: 1153468921View full group profile

Reviews

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Frequently asked questions

Does TIMOTHY L GRODE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TIMOTHY L GRODE (MD) uses 1639164163.
Does CMS list TIMOTHY L GRODE (MD) as active?
Yes — TIMOTHY L GRODE (MD) is active in the NPI listing used on this page.
What taxonomy line describes TIMOTHY L GRODE (MD)?
For research purposes, treat TIMOTHY L GRODE (MD) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TIMOTHY L GRODE (MD)?
TIMOTHY L GRODE (MD)'s geographic hint is Oklahoma City, Oklahoma in our summary view.
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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