DR. TIMOTHY HANS DERSTINE (M.D.) – Psychiatry Physician, NPI 1629076534
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,871 PSYCHIATRY in PA
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Provider Addresses for DR. TIMOTHY HANS DERSTINE (M.D.)
PO BOX 1120
LEMONT, PA 168511120
Phone: (814) 689-9744
Type: Mailing
The Allenway, 315, South Allen Street, Downtown State College, State College, Centre County, Pennsylvania, 16801, United States
SUITE 216
STATE COLLEGE, PA 168014849
Phone: (814) 689-9744
Fax: (888) 981-8069
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-08-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100819000458 | I | Psychiatry | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 159 | 45 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 113 | 32 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 39 | 19 | $0 |
Insurance plans in this area (ZIP 16851)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | PA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 32 | 17 |
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