KATRINA M TIMSON MD
NPI 1144228131
Family Medicine in Newark, OH

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
399 E MAIN ST, NEWARK, OH 43055(220) 564-1846(220) 564-1847 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2021, Dec 10, 2020, Feb 20, 2017 (3 updates tracked since 2017).

About Katrina M Timson Md NPPES

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

KATRINA M TIMSON MD (NPI 1144228131) is an individual family medicine provider in Newark, Ohio, licensed in Ohio (35-059016) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1988).

NPPES Registry Identity

NPI1144228131
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATRINA M TIMSONCredential: MD
Location Address399 E MAIN STNewark, OH 43055-6516
Mailing Address399 E Main StNewark, OH 43055-6516 · (220) 564-1846 · Fax (220) 564-1847
Fax(220) 564-1847
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1988
Enumeration DateJuly 13, 2005
Last NPPES UpdateMarch 18, 20213 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
NPI 1144228131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35-059016
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

399 E MAIN ST, Newark, OH 43055

Other Identifiers 1

Medicaid0829241OH

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

Katrina M Timson 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 ID5799861894
PECOS Enrollment IDI20080331000181
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 10

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.

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.
188 services119 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
121 services97 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
91 services53 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.
40 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services37 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers42 claims94 services$6.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims23 services$14.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims28 services$71.70 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$198.87 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers13 claims13 services$26.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
399 E MAIN ST
NEWARK, OH 43055
Pediatrics
399 E MAIN ST
NEWARK, OH 43055
Pediatrics
399 E MAIN ST
NEWARK, OH 43055
Nurse Practitioner (Pediatrics)
399 E MAIN ST
NEWARK, OH 43055
Pediatrics
399 E MAIN ST
NEWARK, OH 43055
Speech-Language Pathologist
399 E MAIN ST
NEWARK, OH 43055

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 Katrina Timson's NPI number?

The NPI number for Katrina Timson is 1144228131. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Katrina Timson located?

Katrina Timson practices at 399 E Main St, Newark, OH 43055. The listed phone number is (220) 564-1846.

What is Katrina Timson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katrina Timson enrolled in Medicare?

Yes. Katrina Timson 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 Katrina Timson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Katrina Timson 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.

Is Katrina Timson affiliated with any hospitals?

According to CMS data, Katrina Timson is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Katrina Timson was last updated on March 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.