DR. EDWARD TIMOTHY OKELLEY (MD) – Family Medicine Physician, NPI 1184630212

DR. EDWARD TIMOTHY OKELLEY (MD) is a healthcare provider. based in Atlanta, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. G3658 (TX). The NPI Number for DR. EDWARD TIMOTHY OKELLEY (MD) is 1184630212

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD TIMOTHY OKELLEY (MD)
NPI
1184630212
Phone
(903) 796-2868
Address
1011 SOUTH WILLIAM
Enumeration Date
31 July 2006
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9032785747
Graduation Year
1982 (44 years ago)
PAC ID
1759430317
Group Practice PAC ID
8123429925
Professional Enrollment ID
I20090601000451
Address ID
TX755031461TE5803XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. EDWARD TIMOTHY OKELLEY (MD)

  • 1011 SOUTH WILLIAM

    ATLANTA, TX 755513245

    Phone: (903) 796-2868

    Fax: (903) 796-0826

    Type: Mailing

  • PO BOX 1326

    MARSHALL, TX 756711326

    Phone: (903) 927-3782

    Fax: (903) 927-1764

    Type: Mailing

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: 2009-06-01

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
I20090601000451IFamily PracticeTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes231113$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes144125$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13885$0
99239Hospital discharge day management, more than 30 minutes125110$0
99238Hospital discharge day management, 30 minutes or less1313$0
View full utilization report →

Insurance plans in this area (ZIP 75551)

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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: 8123429925View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerAR
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the standard ID for DR. EDWARD TIMOTHY OKELLEY (MD) in the U.S.?
In the U.S., DR. EDWARD TIMOTHY OKELLEY (MD) is identified by NPI 1184630212.
Is DR. EDWARD TIMOTHY OKELLEY (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. EDWARD TIMOTHY OKELLEY (MD) as active.
What type of care does DR. EDWARD TIMOTHY OKELLEY (MD) provide?
DR. EDWARD TIMOTHY OKELLEY (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. EDWARD TIMOTHY OKELLEY (MD) in Atlanta, Texas?
For routing, start with Atlanta, Texas for DR. EDWARD TIMOTHY OKELLEY (MD), then verify phone and hours locally.
Why is information missing for DR. EDWARD TIMOTHY OKELLEY (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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