TIMOTHY J BURRELL MD
NPI 1457672289
Family Medicine in Spartanburg, SC

Q: What is Timothy Burrell's NPI number?

The NPI number for Timothy Burrell is 1457672289. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Q: What is Timothy Burrell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Burrell was last updated on December 8, 2020. 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.

Active since June 16, 2010PECOS EnrolledAccepts Medicare Assignment

96.08/100

CMS Quality Rating

2191 SOUTHPORT RD, SPARTANBURG, SC 29306(864) 215-4840(864) 583-5485 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2020, Jan 13, 2020, May 31, 2019 and 2 more (5 updates tracked since 2019).

On this page

About Timothy J Burrell Md NPPES

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

TIMOTHY J BURRELL MD (NPI 1457672289) is an individual family medicine provider in Spartanburg, South Carolina, licensed in South Carolina (32853) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2010).

NPPES Registry Identity

NPI1457672289

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTIMOTHY J BURRELLCredential: MD

Location Address2191 SOUTHPORT RDSpartanburg, SC 29306-6257

Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413

Phone(864) 215-4840

Fax(864) 583-5485

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2010

Enumeration DateJune 16, 2010

Last NPPES UpdateDecember 8, 20205 updates tracked since enumeration

NPPES CertifiedDecember 8, 2020

✔ NPI 1457672289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SC · 32853✔ Licensed in SC · LL32853

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.

2191 SOUTHPORT RD, Spartanburg, SC 29306

Open in Google Maps ↗

Other Identifiers 6

OtherSC03156121SC · Medicare Pin

Medicaid328531SC

OtherSC0315SC · Medicare #

OtherSC03156067SC · Medicare Pin

OtherSC03156084SC · Medicare Pin

OtherSC0315J577SC · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy J Burrell 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 ID3173777042

PECOS Enrollment IDI20130129000653

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.

Medicare Billing Reassignments

Medicare enrollment records show Timothy Burrell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center

Same address

Family Medicine

2191 SOUTHPORT RD
Spartanburg, SC 29306

Reassigned Medicare billing, South Carolina enrollment
Also billed through NPI 1093819492 (South Carolina)
193 clinicians in this Medicare group

NPI 1821567017 (864) 216-4840

Cherokee Medical Center

16 mi

Family Medicine

722 HYATT ST STE C
Gaffney, SC 29341

Reassigned Medicare billing, South Carolina enrollment
139 clinicians in this Medicare group

NPI 1821649393 (864) 487-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

795 services377 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.

725 services370 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

289 services289 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.

120 services92 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

39 services32 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

30 services30 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

25 services25 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

21 services21 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

19 services17 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

17 services17 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

16 services13 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

16 services14 patients

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296

This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420103

Location250 Westmoreland RoadGreer, SC 29651 · Greenville County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29306 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

96.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

92.17

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers45 claims98 services$5.87 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers11 claims12 services$1.13 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$207.29 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 2

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

LORI MORROW FNP-BC

Nurse Practitioner (Family)

2191 SOUTHPORT RD
SPARTANBURG, SC 29306

Spartanburg County (864) 216-4840

SPARTANBURG MEDICAL CENTER

Family Medicine

2191 SOUTHPORT RD
SPARTANBURG, SC 29306

Spartanburg County (864) 216-4840

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 Burrell's NPI number?

The NPI number for Timothy Burrell is 1457672289. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Timothy Burrell located?

Timothy Burrell practices at 2191 Southport Rd, Spartanburg, SC 29306. The listed phone number is (864) 215-4840.

What is Timothy Burrell's specialty?

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

Is Timothy Burrell enrolled in Medicare?

Yes. Timothy Burrell 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.

Which organizations bill Medicare for Timothy Burrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Burrell reassigns Medicare benefits to 2 organizations: Spartanburg Medical Center (Spartanburg, SC) and Cherokee Medical Center (Gaffney, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Burrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Burrell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 3 other insurers list Timothy Burrell 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 Burrell affiliated with any hospitals?

According to CMS data, Timothy Burrell is affiliated with Spartanburg Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Burrell was last updated on December 8, 2020. 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.