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DR. TIMOTHY A DILLER M.D.
NPI 1205899481
Surgery in Jacksonville, AR

Active since April 10, 2006PECOS Enrolled
1400 BRADEN ST, EMERGENCY DEPT, JACKSONVILLE, AR 72076(501) 985-7000 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy A Diller M.d. NPPES

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

DR. TIMOTHY A DILLER M.D. (NPI 1205899481) is an individual surgery provider in Jacksonville, Arkansas, licensed in Michigan (4301044283) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205899481
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. TIMOTHY A DILLERCredential: M.D.
Location Address1400 BRADEN ST, EMERGENCY DEPTJacksonville, AR 72076-3721
Mailing AddressPo Box 3925Shreveport, LA 71133-3925 · (800) 684-0052 · Fax (405) 844-1794
Phone(501) 985-7000
Sole ProprietorNo
Enumeration DateApril 10, 2006
Last NPPES UpdateJune 19, 2012
✔ NPI 1205899481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301044283
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License T2007-006 (AR)
1400 BRADEN ST, Jacksonville, AR 72076
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Other Identifiers 7

OtherP01027351Railroad Mcard
Medicaid164478001AR
Medicare PIN5N793GA32AR
Other786546AR · Healthlink
Other5086184AR · Aetna
Other07100015600AR · Qc
Medicare PIN5N793AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy A Diller M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72076 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

UNITY HEALTH - JACKSONVILLE
Clinic/Center (Radiology)
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 453-5000
DR. GEORGE THOMPSON GRAY III D.O.
Family Medicine
1400 BRADEN ST, EMERGENCY DEPT
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000
JACKSONVILLE EMERGENCY MEDICINE LLC
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000
RITA MARGARET ODOM NP
Nurse Practitioner (Acute Care)
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (800) 893-9698
MONTE DOUGLAS PA-C
Physician Assistant
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 241-1676
UNITY HEALTH - JACKSONVILLE
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 453-5000
JABBAR JOSHUA
Family Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000
PULASKI EMERGENCY GROUP LLC
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Pulaski County (501) 985-7000

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 Diller's NPI number?

The NPI number for Timothy Diller is 1205899481. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Timothy Diller located?

Timothy Diller practices at 1400 Braden St Emergency Dept, Jacksonville, AR 72076. The listed phone number is (501) 985-7000.

What is Timothy Diller's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Timothy Diller enrolled in Medicare?

Yes. Timothy Diller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Diller was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.