TIMOTHY WAYNE RYSCHON (MD) – Emergency Medicine Physician, NPI 1730183526
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIMOTHY WAYNE RYSCHON (MD)
2 PORTOFINO DR STE 2107
PENSACOLA BEACH, FL 325612503
Phone: (720) 206-7058
Fax: (866) 614-6108
Type: Location
4765, Hahns Peak Drive, Loveland, Larimer County, Colorado, 80538, United States
#204
LOVELAND, CO 805386180
Phone: (720) 206-7058
Fax: (866) 614-6108
Type: Mailing
2 PORTOFINO DR STE 2106
PENSACOLA BEACH, FL 325612503
Phone: (720) 206-7058
Fax: (866) 614-6108
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: 2024-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20120309000628 | I | Pediatric Medicine | AZ | TBD |
| I20160614002612 | I | Pediatric Medicine | FL | TBD |
| I20230530002217 | I | Emergency Medicine | TN | TBD |
| I20241015002938 | I | Pediatric Medicine | 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 32561)
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