DR. TIMUR MITIN (M.D., PH.D.) – Radiation Oncology Physician, NPI 1679745822

DR. TIMUR MITIN (M.D., PH.D.) is a healthcare provider. based in Coos bay, Oregon. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 238881 (MA). The NPI Number for DR. TIMUR MITIN (M.D., PH.D.) is 1679745822

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMUR MITIN (M.D., PH.D.)
NPI
1679745822
Phone
(541) 269-8111
Address
1775 Thompson Rd
Enumeration Date
27 March 2008
Last Update Date
5 October 2020

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5034948311
Graduation Year
2007 (19 years ago)
PAC ID
8921265117
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20140226000853
Address ID
OR972394501PO3303XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

111 RADIATION ONCOLOGY in OR

Provider Addresses for DR. TIMUR MITIN (M.D., PH.D.)

  • 1775 Thompson Rd

    Coos Bay, OR 974202125

    Phone: (541) 269-8111

    Type: Location

  • 299, Southeast 9th Avenue, Central Hillsboro, Hillsboro, Metro, Washington County, Oregon, 97123, United States

    HILLSBORO, OR 971234221

    Phone: (503) 681-4200

    Fax: (503) 681-4210

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $11,724.

Total Amount is formed as General ($11,724) + Research ($0) + Ownership ($0) = $11,724.

Last reported payment date: 2023-10-03 • Largest payer in this snapshot: Novocure Inc. ($6,674).

Total Amount

$11,724

General + Research + Ownership

Payments

6

Total payment records

General Amount

$11,724

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-03

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: 2014-02-26

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
I20140226000853IRadiation OncologyORTBD

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
77014Ct guidance for insertion of radiation therapy fields572133$0
77300Calculation of radiation therapy dose11830$0
77427Radiation treatment management, 5 treatment sessions10534$0
77334Design and construction of complex radiation treatment device9259$0
99215Established patient office or other outpatient visit, 40-54 minutes6550$0
View full utilization report →

Insurance plans in this area (ZIP 97420)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. TIMUR MITIN (M.D., PH.D.)?
DR. TIMUR MITIN (M.D., PH.D.) — NPI 1679745822 — is the standard way to identify this listing.
Does CMS list DR. TIMUR MITIN (M.D., PH.D.) as active?
Yes — DR. TIMUR MITIN (M.D., PH.D.) is active in the NPI listing used on this page.
What is DR. TIMUR MITIN (M.D., PH.D.)'s primary classification?
Radiation Oncology Physician is the headline specialty for DR. TIMUR MITIN (M.D., PH.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. TIMUR MITIN (M.D., PH.D.) list a practice location?
Patients near Coos Bay, Oregon may find DR. TIMUR MITIN (M.D., PH.D.) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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