DR. TIMOTHY ORPHANIDES MD
NPI 1023017530
Internal Medicine - Gastroenterology in Melbourne, FL

Q: What is Timothy Orphanides's NPI number?

The NPI number for Timothy Orphanides is 1023017530. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is Timothy Orphanides's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment

85.38/100

CMS Quality Rating

1223 GATEWAY DR STE 2B, MELBOURNE, FL 32901(321) 549-0736(321) 952-2330 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2021, Jul 6, 2021, Jan 8, 2021 (3 updates tracked since 2021).

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About Dr. Timothy Orphanides Md NPPES

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

DR. TIMOTHY ORPHANIDES MD (NPI 1023017530) is an individual gastroenterology provider in Melbourne, Florida, licensed in Florida (ME151443) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of New York University School Of Medicine (1993).

NPPES Registry Identity

NPI1023017530

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. TIMOTHY ORPHANIDESCredential: MD

Location Address1223 GATEWAY DR STE 2BMelbourne, FL 32901-2607

Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 361-5617

Phone(321) 549-0736

Fax(321) 952-2330

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 1993

Enumeration DateJuly 18, 2005

Last NPPES UpdateDecember 26, 20233 updates tracked since enumeration

NPPES CertifiedDecember 26, 2023

✔ NPI 1023017530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME151443

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1223 GATEWAY DR STE 2B, Melbourne, FL 32901

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Other Identifiers 2

Medicaid111445000FL

OtherN7309FL · Fl Hf Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy Orphanides Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658361670

PECOS Enrollment IDI20210813000882

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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

154 services153 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

147 services147 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

108 services86 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

81 services81 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

37 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services27 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100019

Location1350 S Hickory StMelbourne, FL 32901 · Brevard County

Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100177

Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County

Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100315

Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County

Emergency services

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100316

Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

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.

85.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.65

Promoting Interoperability

Improvement Activities

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES A FARRINGTON MD

Internal Medicine (Gastroenterology)