TIMOTHY ISAMU O'CONNOR M.D.
NPI 1073856043
Pediatrics in Walla Walla, WA

Q: What is Timothy O'connor's NPI number?

The NPI number for Timothy O'connor is 1073856043. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Q: What is Timothy O'connor's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy O'connor was last updated on June 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2013PECOS Enrolled

55 W TIETAN ST, WALLA WALLA, WA 99362(509) 525-3720 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Timothy Isamu O'connor M.d. NPPES

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

TIMOTHY ISAMU O'CONNOR M.D. (NPI 1073856043) is an individual pediatrics provider in Walla Walla, Washington, licensed in Washington (MD60658842) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073856043

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameTIMOTHY ISAMU O'CONNORCredential: M.D.

Location Address55 W TIETAN STWalla Walla, WA 99362-4445

Mailing Address55 W Tietan StWalla Walla, WA 99362-4445 · (509) 525-3720

Phone(509) 525-3720

Sole ProprietorNo

Enumeration DateMarch 28, 2013

Last NPPES UpdateJune 2, 2016

✔ NPI 1073856043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in WA · MD60658842✔ Licensed in WA · ML60368579

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

55 W TIETAN ST, Walla Walla, WA 99362

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska 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 (PECOS)

Timothy Isamu O'connor 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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Other Providers at the Same Location NPPES 20

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

KEVIN JON MOLANDER M.D.

Family Medicine