DR. TIMOTHY RODDY SHAVER (MD) – Surgery Physician, NPI 1417950981
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
Provider Addresses for DR. TIMOTHY RODDY SHAVER (MD)
5290 CHANDLEY FARM CIR
CENTREVILLE, VA 201201235
Phone: (703) 371-6155
Type: Mailing
1860 TOWN CENTER DR STE 440
RESTON, VA 201905908
Phone: (571) 554-8950
Fax: (571) 554-8951
Type: Location
3620 JOSEPH SIEWICK DR
SUITE 406
FAIRFAX, VA 220331756
Phone: (703) 359-8640
Fax: (703) 591-6105
Type: Location
Lee Jackson Memorial Highway, Random Hills, Fair Oaks, Fairfax (city), Virginia, 22030, United States
FAIRFAX, VA 220331907
Phone: (703) 359-8640
Fax: (703) 591-6105
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-04-26 • Largest payer in this snapshot: Ethicon US, LLC ($126).
Total Amount
$167
General + Research + Ownership
Payments
3
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $126 |
| Optinose US, Inc. | $22 |
| ABBVIE INC. | $19 |
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: 2023-11-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040603000426 | I | General Surgery | VA | TBD |
| I20080130000668 | I | General Surgery | DC | TBD |
| I20231129002409 | I | General Surgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AZ | |
| Certified Nurse Midwife (Cnm) | NM | |
| - | OK | |
| General Surgery | AZ | |
| Family Practice | AZ | |
| - | DC | |
| - | MT | |
| General Surgery | TX | |
| Family Practice | NY | |
| General Surgery | CO |
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