DR. TIMOTHY G CAUDILL (MD) – Anesthesiology Physician, NPI 1720083686

DR. TIMOTHY G CAUDILL (MD) is a healthcare provider. based in Walla walla, Washington. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. MD00032378 (WA). The NPI Number for DR. TIMOTHY G CAUDILL (MD) is 1720083686

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY G CAUDILL (MD)
NPI
1720083686
Phone
(509) 529-1284
Address
401 W POPLAR ST
Enumeration Date
16 June 2005
Last Update Date
21 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098973320
Graduation Year
1990 (36 years ago)
PAC ID
3779543533
Group Practice PAC ID
0840279758
Professional Enrollment ID
I20100923001434
Address ID
WA993622846WA401XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,514 ANESTHESIOLOGY in WA

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Provider Addresses for DR. TIMOTHY G CAUDILL (MD)

  • Providence Saint Mary Medical Center, 401, West Poplar Street, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993622846

    Phone: (509) 529-1284

    Type: Location

  • PO BOX 1663

    WALLA WALLA, WA 993620031

    Phone: (509) 529-1284

    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: 2025-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100923001434IAnesthesiologyWATBD
I20250225002080IAnesthesiologyHITBD

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
00811Anesthesia for other procedure on large bowel using an endoscope4545$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4039$0
00142Anesthesia for lens surgery2020$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
00812Anesthesia for exam of colon using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 99362)

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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: 0840279758View full group profile
NameSpecialtyState
-MT
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

Can I cross-check DR. TIMOTHY G CAUDILL (MD) using NPI 1720083686?
NPI 1720083686 belongs to DR. TIMOTHY G CAUDILL (MD); compare other details if you need extra assurance.
Is DR. TIMOTHY G CAUDILL (MD) shown as active in public data?
Registry records indicate DR. TIMOTHY G CAUDILL (MD) maintains an active NPI.
What clinical focus is listed for DR. TIMOTHY G CAUDILL (MD)?
At a glance, DR. TIMOTHY G CAUDILL (MD) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. TIMOTHY G CAUDILL (MD)?
Directory geography for DR. TIMOTHY G CAUDILL (MD) centers on Walla Walla, Washington.
Does DR. TIMOTHY G CAUDILL (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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