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TIMOTHY DAWSON M.D.
NPI 1336502467
Surgery in Louisville, KY

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
550 S JACKSON ST, LOUISVILLE, KY 40202(502) 852-6191 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Dawson M.d. NPPES

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

TIMOTHY DAWSON M.D. (NPI 1336502467) is an individual surgery provider in Louisville, Kentucky, licensed in Indiana (01085775A) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of University Of Louisville School Of Medicine (2016).

NPPES Registry Identity

NPI1336502467
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTIMOTHY DAWSONCredential: M.D.
Location Address550 S JACKSON STLouisville, KY 40202-1622
Mailing Address550 S Jackson StLouisville, KY 40202-1622
Phone(502) 852-6191
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1336502467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IN · 01085775A
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
550 S JACKSON ST, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

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

Timothy Dawson 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 ID6406127596
PECOS Enrollment IDI20210611000441
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 6

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services60 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 services31 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.
30 services30 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.
30 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services18 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Ascension St Vincent Salem

Critical Access Hospitals · Salem, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151314
Location911 N Shelby StSalem, IN 47167 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

BROCK AARON MARTIN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1816
UNIVERSITY PHYSICIAN ASSOCIATES
Internal Medicine (Critical Care Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-8686
KATHRYN KENDALL BURKE MD
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666
STANLEY A. GALL M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
550 S JACKSON ST, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-8850
DR. STEVEN B LIPPMANN M.D.
Psychiatry & Neurology (Psychiatry)
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-1759
STEPHEN HOUGHLAND MD
Internal Medicine
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 562-6510
UNIVERISTY PHYSICIAN ASSOCIATES
Surgery (Vascular Surgery)
550 S JACKSON ST, 2ND FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 562-6511
AMELIA EINFALT POWER MD
Student in an Organized Health Care Education/Training Program
550 S JACKSON ST
LOUISVILLE, KY 40202
Jefferson County (502) 852-4277

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 Dawson's NPI number?

The NPI number for Timothy Dawson is 1336502467. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Timothy Dawson located?

Timothy Dawson practices at 550 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 852-6191.

What is Timothy Dawson's specialty?

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

Is Timothy Dawson enrolled in Medicare?

Yes. Timothy Dawson 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 Dawson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Timothy Dawson 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 Dawson affiliated with any hospitals?

According to CMS data, Timothy Dawson is affiliated with Baptist Health Floyd and Ascension St Vincent Salem.

When was this NPI record last updated?

The NPPES record for Timothy Dawson was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.