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DR. HILARY H TIMMIS M.D.
NPI 1306866835
Otolaryngology in Sandusky, OH

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
112 INDEPENDENCE WAY, SUITE 130, SANDUSKY, OH 44870(419) 483-4488(419) 483-6276 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Hilary H Timmis M.d. NPPES

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

DR. HILARY H TIMMIS M.D. (NPI 1306866835) is an individual otolaryngology provider in Sandusky, Ohio, licensed in Ohio (35-076411) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1994).

NPPES Registry Identity

NPI1306866835
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. HILARY H TIMMISCredential: M.D.
Location Address112 INDEPENDENCE WAY, SUITE 130Sandusky, OH 44870-7248
Mailing AddressPo Box 378Sandusky, OH 44871-0378 · (419) 609-1112 · Fax (419) 609-1123
Phone(419) 483-4488
Fax(419) 483-6276
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1994
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 28, 2016
✔ NPI 1306866835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 35-076411
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
112 INDEPENDENCE WAY, Sandusky, OH 44870
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Other Identifiers 3

Medicaid2159293OH
Medicare UPINH05360OH
OtherP00221211OH · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Hilary H Timmis 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 ID6204738404
PECOS Enrollment IDI20040127000045
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 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.
253 services179 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.
169 services169 patients
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.
147 services110 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
80 services80 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
66 services49 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
39 services28 patients

Hospital Affiliations CMS Care Compare 5

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360065
Location272 Benedict AvenueNorwalk, OH 44857 · Huron County
Emergency services Birthing friendly

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360089
Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

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 Hilary Timmis's NPI number?

The NPI number for Hilary Timmis is 1306866835. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Hilary Timmis located?

Hilary Timmis practices at 112 Independence Way Suite 130, Sandusky, OH 44870. The listed phone number is (419) 483-4488.

What is Hilary Timmis's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Hilary Timmis enrolled in Medicare?

Yes. Hilary Timmis 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 Hilary Timmis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Hilary Timmis 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 Hilary Timmis affiliated with any hospitals?

According to CMS data, Hilary Timmis is affiliated with Firelands Regional Medical Center, Fisher-Titus Hospital, Mercy Health - Tiffin Hospital, Bellevue Hospital and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Hilary Timmis was last updated on March 28, 2016. 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.