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DR. TIMOTHY DERRICK DO MD
NPI 1043464639
Neurological Surgery in Orange Park, FL

Active since November 09, 2008PECOS Enrolled
75/100
CMS Quality Rating
4689 US HIGHWAY 17, SUITE 11, ORANGE PARK, FL 32003(904) 269-7007(866) 264-0529 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2022, Oct 8, 2019, Jun 13, 2016 (3 updates tracked since 2016).

About Dr. Timothy Derrick Do Md NPPES

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

DR. TIMOTHY DERRICK DO MD (NPI 1043464639) is an individual neurological surgery provider in Orange Park, Florida, licensed in Florida (ME111835) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043464639
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. TIMOTHY DERRICK DOCredential: MD
Location Address4689 US HIGHWAY 17, SUITE 11Orange Park, FL 32003-4831
Mailing Address4689 Us Highway 17, Suite 11Orange Park, FL 32003-4831 · (904) 269-7007 · Fax (866) 264-0529
Phone(904) 269-7007
Fax(866) 264-0529
Sole ProprietorNo
Enumeration DateNovember 9, 2008
Last NPPES UpdateJanuary 27, 20223 updates tracked since enumeration
✔ NPI 1043464639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in FL · ME111835✔ Licensed in DC · 150583
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4689 US HIGHWAY 17, Orange Park, FL 32003
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Other Identifiers 1

Medicaid009327000FL

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 Derrick Do Md 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 Do reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jacksonville Multispecialty Services, LLC
0.8 mi
Orthopaedic Surgery
1679 EAGLE HARBOR PKWY, SUITE B
Orange Park, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1427298363 (904) 399-6109

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 32003 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
87%334 patients4/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%2,822 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
78%2,080 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
99%336 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
53%451 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%686 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
77%1,051 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
60%345 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
63%423 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
46%433 patients3/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
3%922 patients1/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,051 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
69%1,051 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 324 patients
5%324 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%1,051 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ALBERT LEWIS HENRY MD
Orthopaedic Surgery
4689 US HIGHWAY 17, SUITE 11 &12
FLEMING ISLAND, FL 32003
Duval County (904) 375-9753
DR. LUCAS ANISSIAN M.D.
Orthopaedic Surgery
4689 US HIGHWAY 17
FLEMING ISLAND, FL 32003
Duval County (904) 269-7007
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Internal Medicine (Hematology & Oncology)
4689 US HIGHWAY 17, SUITES 2-5
FLEMING ISLAND, FL 32003
Duval County (904) 269-6526
DR. DOUGLAS KRISTOFER SCALES D.M.D., P.A.
Dentist
4689 US HIGHWAY 17, SUITE #6
FLEMING ISLAND, FL 32003
Duval County (904) 278-7567
DR. JASON JOSEPH PHILLIPS M.D.
Obstetrics & Gynecology
4689 US HIGHWAY 17
FLEMING ISLAND, FL 32003
Duval County (904) 830-0565
HUGHSTON CLINIC, PC
Durable Medical Equipment & Medical Supplies
4689 US HIGHWAY 17, SUITE 11& 12
FLEMING ISLAND, FL 32003
Duval County (904) 375-9753
DOUGLAS K SCALES, D.M.D., P.A.
Dentist (General Practice)
4689 US HIGHWAY 17, SUITE 6
FLEMING ISLAND, FL 32003
Duval County (904) 278-7567

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 Do's NPI number?

The NPI number for Timothy Do is 1043464639. It was assigned to this individual provider in the NPPES registry on November 9, 2008.

Where is Timothy Do located?

Timothy Do practices at 4689 Us Highway 17 Suite 11, Orange Park, FL 32003. The listed phone number is (904) 269-7007.

What is Timothy Do's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Timothy Do enrolled in Medicare?

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

Which organization bills Medicare for Timothy Do's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Do reassigns Medicare benefits to Jacksonville Multispecialty Services, LLC (Orange Park, FL). 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 Do'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 Do was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.