Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. TIMOTHY RICHARDSON PA.
NPI 1407378136
Physician Assistant in Syracuse, NY

Q: What is Timothy Richardson's NPI number?

The NPI number for Timothy Richardson is 1407378136. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Q: What is Timothy Richardson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since July 14, 2017PECOS Enrolled

1226 E WATER ST, SYRACUSE, NY 13210(315) 478-4185(315) 478-0840 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2026, Jun 23, 2025, Oct 20, 2017 and 1 more (4 updates tracked since 2017).

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About Mr. Timothy Richardson Pa. NPPES

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

MR. TIMOTHY RICHARDSON PA. (NPI 1407378136) is an individual physician assistant in Syracuse, New York, licensed in New York (036109) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407378136

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. TIMOTHY RICHARDSONCredential: PA.

Location Address1226 E WATER STSyracuse, NY 13210-1155

Mailing Address100 Metropolitan Park Dr Ste 100Liverpool, NY 13088-7112 · (315) 870-9369 · Fax (315) 870-9364

Phone(315) 478-4185

Fax(315) 478-0840

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 14, 2017

Last NPPES UpdateAugust 19, 20264 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1407378136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 036109

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1226 E WATER ST, Syracuse, NY 13210

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Secondary Practice Locations 8

Location 13825 N Lafayette StDenver, CO 80205-3316 · Phone (303) 500-1518

Location 280 E Main St Ste 2ACanton, NY 13617-1450 · Phone (315) 714-2559 · Fax (315) 386-3056

Location 32 Ellinwood DrNew Hartford, NY 13413-1102 · Phone (315) 724-1012 · Fax (315) 724-5219

Location 44211 Medical Center Dr Ste 211Fayetteville, NY 13066-6637 · Phone (315) 329-0210 · Fax (315) 329-0215

Location 55700 W Genesee St Ste 124Camillus, NY 13031-3206 · Phone (315) 478-4185 · Fax (315) 478-0840

Location 6357 Genesee St Ste 1Oneida, NY 13421-2658 · Phone (315) 363-8862 · Fax (315) 363-3326

Location 7192 Genesee StAuburn, NY 13021-3361 · Phone (315) 258-5253 · Fax (315) 258-0202

Location 85100 W Taft Rd Ste 4JLiverpool, NY 13088-3810 · Phone (315) 458-6669 · Fax (315) 478-0840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Mr. Timothy Richardson Pa. 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 ID2466719943

PECOS Enrollment IDI20221220002539

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 9

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

36 services36 patients

Red blood cell concentration measurement 85014

Red blood cell concentration measurement is a routine blood test that assesses the number of red blood cells in your blood. These cells carry oxygen throughout your body. The test can help identify conditions like anemia or dehydration. It's a simple, quick, and relatively painless procedure.

31 services30 patients

Blood test, basic group of blood chemicals (calcium, ionized) 80047

A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.

30 services30 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.

22 services22 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

20 services20 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.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier18 claims18 services$8.65 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.

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