TIM L FAULKENBERRY (M.D.) – Surgery Physician, NPI 1114906070

TIM L FAULKENBERRY (M.D.) is a healthcare provider. based in Austin, Texas. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. E2554 (TX). The NPI Number for TIM L FAULKENBERRY (M.D.) is 1114906070

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
TIM L FAULKENBERRY (M.D.)
NPI
1114906070
Phone
(512) 334-1885
Address
3705 MEDICAL PKWY
Enumeration Date
10 January 2006
Last Update Date
3 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
5123385024
Graduation Year
1974 (52 years ago)
PAC ID
4880662808
Group Practice PAC ID
4385612308
Professional Enrollment ID
I20040920000252
Address ID
TX787051027AU3705XPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

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Provider Addresses for TIM L FAULKENBERRY (M.D.)

  • Austin Ear Nose & Throat Clinic, 3705, Medical Parkway, Central Austin, Austin, Travis County, Texas, 78705, United States

    SUITE 250

    AUSTIN, TX 787051019

    Phone: (512) 334-1885

    Type: Mailing

  • 3705 MEDICAL PKWY STE 250

    AUSTIN, TX 787051022

    Phone: (512) 302-1210

    Fax: (512) 451-9752

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $4,476.

Total Amount is formed as General ($4,476) + Research ($0) + Ownership ($0) = $4,476.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($1,421).

Total Amount

$4,476

General + Research + Ownership

Payments

46

Total payment records

General Amount

$4,476

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2004-09-20

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
I20040920000252IGeneral SurgeryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3122$0
View full utilization report →

Insurance plans in this area (ZIP 78705)

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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: 4385612308View full group profile
NameSpecialtyState
General SurgeryTX
General SurgeryTX
General SurgeryTX
Physician AssistantTX
General SurgeryTX

Reviews

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Frequently asked questions

What is the standard ID for TIM L FAULKENBERRY (M.D.) in the U.S.?
In the U.S., TIM L FAULKENBERRY (M.D.) is identified by NPI 1114906070.
Quick check: is TIM L FAULKENBERRY (M.D.) active?
Public NPPES data shows TIM L FAULKENBERRY (M.D.) with an active NPI status right now.
How should patients interpret TIM L FAULKENBERRY (M.D.)'s specialty?
The extract shows Surgery Physician for TIM L FAULKENBERRY (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to TIM L FAULKENBERRY (M.D.)?
The directory associates TIM L FAULKENBERRY (M.D.) with Austin, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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