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TIMOTHY JAMES WALCH PA-C
NPI 1124530274
Physician Assistant - Medical in Rochester, NY

Active since October 30, 2017PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7870(585) 723-7871 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2021, Apr 20, 2018, Jan 19, 2018 and 1 more (4 updates tracked since 2017).

About Timothy James Walch Pa-c NPPES

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

TIMOTHY JAMES WALCH PA-C (NPI 1124530274) is an individual medical provider in Rochester, New York, licensed in New York (021654) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124530274
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTIMOTHY JAMES WALCHCredential: PA-C
Location Address1555 LONG POND RDRochester, NY 14626-4122
Mailing Address1555 Long Pond Road, Department Of MedicineRochester, NY 14626-4122 · (585) 723-7870 · Fax (585) 723-7871
Phone(585) 723-7870
Fax(585) 723-7871
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 30, 2017
Last NPPES UpdateMay 11, 20214 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1124530274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 021654
1555 LONG POND RD, Rochester, NY 14626
Open in Google Maps ↗

Other Identifiers 1

Medicaid05022151NY

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 James Walch Pa-c 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 ID5799044699
PECOS Enrollment IDI20180123001427
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.

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FAROOQ CHAUDHARY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070

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 Walch's NPI number?

The NPI number for Timothy Walch is 1124530274. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Timothy Walch located?

Timothy Walch practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7870.

What is Timothy Walch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Timothy Walch enrolled in Medicare?

Yes. Timothy Walch 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.

Is Timothy Walch affiliated with any hospitals?

According to CMS data, Timothy Walch is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Walch was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.