TIMOTHY H TANNER (MD) – Internal Medicine Physician, NPI 1144284498

TIMOTHY H TANNER (MD) is a healthcare provider. based in St johnsbury, Vermont. specializing in FAMILY PRACTICE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 0420008723 (VT). The NPI Number for TIMOTHY H TANNER (MD) is 1144284498

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY H TANNER (MD)
NPI
1144284498
Phone
(802) 748-9405
Address
165 SHERMAN DR
Enumeration Date
13 April 2006
Last Update Date
16 July 2010

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
4183652837
Group Practice PAC ID
2860300936
Professional Enrollment ID
I20050803000089
Address ID
VT058190000ST165XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

355 FAMILY PRACTICE in VT

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Provider Addresses for TIMOTHY H TANNER (MD)

  • 165, Sherman Drive, Saint Johnsbury, Caledonia County, Vermont, 05819, United States

    ST JOHNSBURY, VT 058199811

    Phone: (802) 748-9405

    Fax: (802) 748-4540

    Type: Mailing

  • 26, Cedar Lane, Danville, Caledonia County, Vermont, 05828, United States

    DANVILLE, VT 058289751

    Phone: (802) 684-2275

    Fax: (802) 684-3839

    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: 2005-08-03

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
I20050803000089IFamily PracticeVTTBD

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
83036Hemoglobin a1c level5327$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2726$0
81002Urinalysis, manual test1716$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1717$0
View full utilization report →

Insurance plans in this area (ZIP 05819)

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Provider's Procedures

TIMOTHY H TANNER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVT81002Urinalysis, manual test4036
FAMILY MEDICINEVT85610Blood test, clotting time21828

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: 2860300936View full group profile
NameSpecialtyState
Nurse PractitionerMT
Family PracticeVT
Physician AssistantVT
Family PracticeNH
Nurse PractitionerCA
-VT
Family PracticeMA
Physician AssistantVT
Clinical Social WorkerVT
Physician AssistantVT

Reviews

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Frequently asked questions

What is the 10-digit NPI for TIMOTHY H TANNER (MD)?
TIMOTHY H TANNER (MD) — NPI 1144284498 — is the standard way to identify this listing.
Is TIMOTHY H TANNER (MD) listed as active for patients and plans?
The listing shows TIMOTHY H TANNER (MD) as active in the NPI system.
What is TIMOTHY H TANNER (MD) best known for clinically?
Directory data describes TIMOTHY H TANNER (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is TIMOTHY H TANNER (MD) based?
TIMOTHY H TANNER (MD) is tied to St Johnsbury, Vermont in the data we show; additional addresses may exist on the full record.
Why does TIMOTHY H TANNER (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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