TIMOTHY HUGH GANNON MD
NPI 1083676852
Specialist in Dothan, AL

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
89.76/100
CMS Quality Rating
4300 W MAIN ST, SUITE 403, DOTHAN, AL 36305(334) 793-4788(334) 793-1561 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Hugh Gannon Md NPPES

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

TIMOTHY HUGH GANNON MD (NPI 1083676852) is an individual specialist in Dothan, Alabama and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1986).

NPPES Registry Identity

NPI1083676852
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameTIMOTHY HUGH GANNONCredential: MD
Location Address4300 W MAIN ST, SUITE 403Dothan, AL 36305-1054
Mailing Address4300 W Main St, Suite 403Dothan, AL 36305-1054 · (334) 793-4788 · Fax (334) 793-1561
Fax(334) 793-1561
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1986
Enumeration DateApril 5, 2006
Last NPPES UpdateApril 19, 2017
NPI 1083676852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4300 W MAIN ST, Dothan, AL 36305

Other Identifiers 4

Medicare UPINC71200AL
Medicaid000031973AL
Medicare ID-Type Unspecified000031973AL · Medicare
Other174017500AL · Us Dept Of Laobr

Accepted 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

Timothy Hugh Gannon 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 ID1355378621
PECOS Enrollment IDI20110112000247
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 16

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.

Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
525 services521 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.
239 services177 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.
181 services136 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
161 services118 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
97 services95 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
95 services95 patients

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.

89.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Rheumatology)
4300 W MAIN ST, SUITE 102
DOTHAN, AL 36305
Psychiatry & Neurology (Neurology)
4300 W MAIN ST, SUITE 102
DOTHAN, AL 36305
Orthopaedic Surgery
4300 W MAIN ST, SUITE 102
DOTHAN, AL 36305
Nurse Practitioner (Family)
4300 W MAIN ST, SUITE 300
DOTHAN, AL 36305
Surgery
4300 W MAIN ST, STE 24
DOTHAN, AL 36305
Surgery
4300 W MAIN ST, SUITE 24
DOTHAN, AL 36305
Internal Medicine (Cardiovascular Disease)
4300 W MAIN ST, SUITE 102
DOTHAN, AL 36305
Dermatology (Procedural Dermatology)
4300 W MAIN ST, SUITE 102
DOTHAN, AL 36305

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 Gannon's NPI number?

The NPI number for Timothy Gannon is 1083676852. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Timothy Gannon located?

Timothy Gannon practices at 4300 W Main St Suite 403, Dothan, AL 36305. The listed phone number is (334) 793-4788.

What is Timothy Gannon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Timothy Gannon enrolled in Medicare?

Yes. Timothy Gannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Gannon accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Timothy Gannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Gannon was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.