MR. TIMOTHY D KEYES PA
NPI 1124025473
Physician Assistant in Johnson City, NY

Q: What is Timothy Keyes's NPI number?

The NPI number for Timothy Keyes is 1124025473. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Q: What is Timothy Keyes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Keyes was last updated on November 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment

30 HARRISON ST STE 250, JOHNSON CITY, NY 13790(607) 763-6580 Get Directions Write a Review

NPPES record last updated: November 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2025, Nov 14, 2025 (2 updates tracked since 2025).

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About Mr. Timothy D Keyes Pa NPPES

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

MR. TIMOTHY D KEYES PA (NPI 1124025473) is an individual physician assistant in Johnson City, New York, licensed in New York (008055) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124025473

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. TIMOTHY D KEYESCredential: PA

Location Address30 HARRISON ST STE 250Johnson City, NY 13790-2176

Mailing Address104 Union Ave Ste 804Syracuse, NY 13203-1844 · (315) 703-5049 · Fax (315) 703-5079

Phone(607) 763-6580

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJuly 1, 2005

Last NPPES UpdateNovember 22, 20252 updates tracked since enumeration

NPPES CertifiedNovember 22, 2025

✔ NPI 1124025473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 008055

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.

Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 008055-1 (NY)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 008005 (NY)

30 HARRISON ST STE 250, Johnson City, NY 13790

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Secondary Practice Locations 2

Location 1301 Prospect AveSyracuse, NY 13203-1807 · Phone (315) 448-5111 · Fax (315) 703-5079

Location 21500 N James StRome, NY 13440-2844 · Phone (315) 338-7184

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

Mr. Timothy D Keyes Pa 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 ID6305816968

PECOS Enrollment IDI20040729001441

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

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.

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330140

Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

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.

RACHEL MARIE SKOVIRA NP

Nurse Practitioner (Family)