ALVIN MICHAEL TIMOTHY M.D.
NPI 1164509048
Internal Medicine - Interventional Cardiology in Thibodaux, LA

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
1320 MARTIN LUTHER KING DR, THIBODAUX, LA 70301(985) 446-2021(985) 447-1546 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alvin Michael Timothy M.d. NPPES

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

ALVIN MICHAEL TIMOTHY M.D. (NPI 1164509048) is an individual interventional cardiology provider in Thibodaux, Louisiana, licensed in Louisiana (203140) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2001).

NPPES Registry Identity

NPI1164509048
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameALVIN MICHAEL TIMOTHYCredential: M.D.
Location Address1320 MARTIN LUTHER KING DRThibodaux, LA 70301-4886
Mailing AddressPo Box 4176Houma, LA 70361-4176 · (985) 872-5864 · Fax (985) 872-0317
Fax(985) 447-1546
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2001
Enumeration DateOctober 31, 2006
Last NPPES UpdateOctober 19, 2015
NPI 1164509048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in LA · 203140
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 203140 (LA)
1320 MARTIN LUTHER KING DR, Thibodaux, LA 70301

Other Identifiers 2

Medicaid1800252LA
Medicare UPIN4M2156833LA

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

Alvin Michael Timothy M.d. 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 ID6507828894
PECOS Enrollment IDI20090901000313
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 15

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.
548 services279 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
464 services323 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.
161 services117 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
134 services134 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.
93 services89 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.
77 services77 patients

Hospital Affiliations CMS Care Compare 3

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

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190004
Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche County
Emergency services Birthing friendly

Ochsner St Mary

Acute Care Hospitals · Morgan City, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190014
Location1125 Marguerite StreetMorgan City, LA 70380 · St. Mary County
Emergency services

Lady Of The Sea General Hospital

Critical Access Hospitals · Cut Off, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191325
Location200 West 134th PlaceCut Off, LA 70345 · Lafourche County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70301 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.77
Promoting Interoperability100
Improvement Activities40
Cost59.05

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%5,094 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%7,052 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%6,217 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%2,589 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
67%2,546 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,518 patients
Patients tobacco: 100% · 1,518 patients
98%193 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,589 patients5/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 6% · 1,330 patients
9%1,330 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%2,589 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Internal Medicine (Interventional Cardiology)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Nurse Practitioner (Family)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Internal Medicine (Interventional Cardiology)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Internal Medicine (Interventional Cardiology)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Nurse Practitioner (Family)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Nurse Practitioner (Family)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301
Nurse Practitioner (Family)
1320 MARTIN LUTHER KING DR
THIBODAUX, LA 70301

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 Alvin Timothy's NPI number?

The NPI number for Alvin Timothy is 1164509048. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Alvin Timothy located?

Alvin Timothy practices at 1320 Martin Luther King Dr, Thibodaux, LA 70301. The listed phone number is (985) 446-2021.

What is Alvin Timothy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Alvin Timothy enrolled in Medicare?

Yes. Alvin Timothy 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 Alvin Timothy accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Alvin Timothy 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 Alvin Timothy affiliated with any hospitals?

According to CMS data, Alvin Timothy is affiliated with Thibodaux Regional Medical Center, Ochsner St Mary and Lady Of The Sea General Hospital.

When was this NPI record last updated?

The NPPES record for Alvin Timothy was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.