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DR. TIMOTHY JUSTIN GERMAIN M.D.
NPI 1013934538
Plastic Surgery in Erie, PA

Active since July 17, 2006PECOS Enrolled
93.78/100
CMS Quality Rating
2315 MYRTLE ST STE 290B, ERIE, PA 16502(814) 452-7300(814) 452-5015 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2020, Jun 15, 2020, Jul 9, 2018 (3 updates tracked since 2018).

About Dr. Timothy Justin Germain M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY JUSTIN GERMAIN M.D. (NPI 1013934538) is an individual plastic surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (MD463261) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mc Lean.

NPPES Registry Identity

NPI1013934538
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. TIMOTHY JUSTIN GERMAINCredential: M.D.
Location Address2315 MYRTLE ST STE 290BErie, PA 16502-4609
Mailing Address2315 Myrtle St Ste 290bErie, PA 16502-4609 · (814) 452-7300 · Fax (814) 452-5015
Phone(814) 452-7300
Fax(814) 452-5015
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 2, 20203 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1013934538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in PA · MD463261✔ Licensed in VA · 010196841
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2315 MYRTLE ST STE 290B, Erie, PA 16502
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Secondary Practice Location 1

Location 11355 Beverly Rd, Suite 220Mc Lean, VA 22101-3651 · Phone (703) 442-8040 · Fax (703) 992-8354

Other Identifiers 1

Medicaid010196841VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Justin Germain M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Germain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent Medical Education And Research Institute Inc
0.1 mi
Internal Medicine
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 483 clinicians in this Medicare group
NPI 1902881477 (814) 452-5043

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Germain's NPI number?

The NPI number for Timothy Germain is 1013934538. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Timothy Germain located?

Timothy Germain practices at 2315 Myrtle St Ste 290B, Erie, PA 16502. The listed phone number is (814) 452-7300.

What is Timothy Germain's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Timothy Germain enrolled in Medicare?

Yes. Timothy Germain is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Germain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Germain reassigns Medicare benefits to St Vincent Medical Education And Research Institute Inc (Erie, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Germain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Germain was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.