TIMOTHY BRAUN (PA-C) – Physician Assistant, NPI 1679017990

TIMOTHY BRAUN (PA-C) is a healthcare provider. based in Lindsay, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for TIMOTHY BRAUN (PA-C) is 1679017990

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY BRAUN (PA-C)
NPI
1679017990
Phone
Not provided
Address
407 S MAIN ST
Enumeration Date
5 December 2016
Last Update Date
5 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057561240
Graduation Year
2016 (10 years ago)
PAC ID
7315221165
Group Practice PAC ID
9830409333
Professional Enrollment ID
I20170223000723
Address ID
OK730526448LI409XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:9State licenses:0Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

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Provider Addresses for TIMOTHY BRAUN (PA-C)

  • 407, South Main Street, Lindsay, Garvin County, Oklahoma, 73052, United States

    LINDSAY, OK 730526448

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Novo Nordisk Inc ($63).

Total Amount

$83

General + Research + Ownership

Payments

4

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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: 2017-02-23

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
I20170223000723IPhysician AssistantOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73052)

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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: 9830409333View full group profile
NameSpecialtyState
Addiction Medicine, Family PracticeOK
Nurse PractitionerOK
-OK
-OK
-OK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Is there an official ID for TIMOTHY BRAUN (PA-C) in U.S. healthcare records?
The official identifier for TIMOTHY BRAUN (PA-C) is NPI 1679017990.
Would TIMOTHY BRAUN (PA-C) appear as active to a payer?
You can treat TIMOTHY BRAUN (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for TIMOTHY BRAUN (PA-C)?
At a glance, TIMOTHY BRAUN (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TIMOTHY BRAUN (PA-C)?
Travel planning: use Lindsay, Oklahoma as the reference point for TIMOTHY BRAUN (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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