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TIMOTHY RYAN TIBERIA
NPI 1114518818
Physician Assistant in Indian Trail, NC

Active since January 27, 2021PECOS EnrolledAccepts Medicare Assignment
3039 GLENN VALLEY LN APT 306, INDIAN TRAIL, NC 28079(313) 910-3726 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2022, Jan 27, 2021 (2 updates tracked since 2021).

About Timothy Ryan Tiberia NPPES

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

TIMOTHY RYAN TIBERIA (NPI 1114518818) is an individual physician assistant in Indian Trail, North Carolina, licensed in Maryland (C0008402) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114518818
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY RYAN TIBERIA
Location Address3039 GLENN VALLEY LN APT 306Indian Trail, NC 28079-0060
Mailing Address3039 Glenn Valley Ln Apt 306Indian Trail, NC 28079-0060 · (313) 910-3726
Phone(313) 910-3726
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 27, 2021
Last NPPES UpdateMay 6, 20222 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
✔ NPI 1114518818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C0008402
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3039 GLENN VALLEY LN APT 306, Indian Trail, NC 28079
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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 Ryan Tiberia 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 ID6709269343
PECOS Enrollment IDI20220816000264
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
65 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28079 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Tiberia's NPI number?

The NPI number for Timothy Tiberia is 1114518818. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Timothy Tiberia located?

Timothy Tiberia practices at 3039 Glenn Valley Ln Apt 306, Indian Trail, NC 28079. The listed phone number is (313) 910-3726.

What is Timothy Tiberia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Tiberia enrolled in Medicare?

Yes. Timothy Tiberia 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.

When was this NPI record last updated?

The NPPES record for Timothy Tiberia was last updated on May 6, 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.