1. Home
  2. Directory
  3. Rhode Island
  4. Pawtucket
  5. Family Medicine
  6. NPI Profile

TIMOTHY FARRELL MD
NPI 1306959747
Family Medicine in Pawtucket, RI

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
407 EAST AVE, UNIVERSITY MEDICINE GERIATRICS PRACTICE, PAWTUCKET, RI 02860(401) 728-7270(401) 728-6453 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Farrell Md NPPES

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

TIMOTHY FARRELL MD (NPI 1306959747) is an individual family medicine provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD12351) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Massachusetts Medical School (2004).

NPPES Registry Identity

NPI1306959747
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY FARRELLCredential: MD
Location Address407 EAST AVE, UNIVERSITY MEDICINE GERIATRICS PRACTICEPawtucket, RI 02860-5299
Mailing Address111 Brewster Street, Fcc Team APawtucket, RI 02860 · (401) 729-3469 · Fax (401) 729-2541
Phone(401) 728-7270
Fax(401) 728-6453
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2004
Enumeration DateAugust 17, 2006
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1306959747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in RI · MD12351✔ Licensed in RI · LP00143✔ Licensed in UT · 7272237-1205
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.
407 EAST AVE, Pawtucket, RI 02860
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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

Timothy Farrell 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 ID4183770852
PECOS Enrollment IDI20090922000169
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 3

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.
57 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services20 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$14.72 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 suppliers16 claims16 services$67.00 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 20

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

DR. MADHAVI YERNENI M.D.
Internal Medicine
407 EAST AVE, SUITE 120
PAWTUCKET, RI 02860
Providence County (401) 725-4700
DR. PATRICIA N SOSCIA M.D.
Internal Medicine (Rheumatology)
407 EAST AVE, SUITE 250
PAWTUCKET, RI 02860
Providence County (401) 351-2280
DR. ANDREW A NOWAK MD
Internal Medicine (Cardiovascular Disease)
407 EAST AVE, SUITE 130
PAWTUCKET, RI 02860
Providence County (401) 726-7770
RHODE ISLAND HOSPITAL
Clinic/Center (Multi-Specialty)
407 EAST AVE, SUITE 250
PAWTUCKET, RI 02860
Providence County (401) 721-5706
AARON A DAVIS DO
Family Medicine
407 EAST AVE, SUITE 150
PAWTUCKET, RI 02860
Providence County (401) 727-4800
JOHN B MURPHY MD
Family Medicine (Geriatric Medicine)
407 EAST AVE, SUITE 110
PAWTUCKET, RI 02860
Providence County (401) 728-7270
DR. CHRISTINE V HERBERT M.D.
Internal Medicine
407 EAST AVE, SUITE120
PAWTUCKET, RI 02860
Providence County (401) 725-4700
NEW ENGLAND FOOT AND ANKLE ASSOCIATES, PC
Podiatrist (Foot & Ankle Surgery)
407 EAST AVE, SUITE 120
PAWTUCKET, RI 02860
Providence County (401) 726-7777

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 Farrell's NPI number?

The NPI number for Timothy Farrell is 1306959747. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Timothy Farrell located?

Timothy Farrell practices at 407 East Ave University Medicine Geriatrics Practice, Pawtucket, RI 02860. The listed phone number is (401) 728-7270.

What is Timothy Farrell's specialty?

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

Is Timothy Farrell enrolled in Medicare?

Yes. Timothy Farrell 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 Timothy Farrell accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Timothy Farrell 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 Timothy Farrell affiliated with any hospitals?

According to CMS data, Timothy Farrell is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Timothy Farrell was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.