MR. PARKER DON TIMOTHY PA
NPI 1619527371
Physician Assistant in Santa Rosa, CA

Active since September 16, 2019PECOS EnrolledAccepts Medicare Assignment
86.7/100
CMS Quality Rating
3883 AIRWAY DR STE 165, SANTA ROSA, CA 95403(707) 521-7799 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2025, Dec 8, 2024, Oct 8, 2019 and 1 more (4 updates tracked since 2019).

About Mr. Parker Don Timothy Pa NPPES

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

MR. PARKER DON TIMOTHY PA (NPI 1619527371) is an individual physician assistant in Santa Rosa, California, licensed in California (PA57489) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619527371
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. PARKER DON TIMOTHYCredential: PA
Location Address3883 AIRWAY DR STE 165Santa Rosa, CA 95403-1675
Mailing Address3883 Airway Dr Ste 165Santa Rosa, CA 95403-1675 · (707) 521-7799
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 16, 2019
Last NPPES UpdateDecember 10, 20254 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1619527371 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 CA · PA57489
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.

3883 AIRWAY DR STE 165, Santa Rosa, CA 95403

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. Parker Don Timothy 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 ID1951736115
PECOS Enrollment IDI20200115002778
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 13

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.
431 services306 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
284 services215 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
216 services176 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.
65 services65 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
55 services49 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

86.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.6
Promoting Interoperability100
Improvement Activities40
Cost71.08

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Obstetrics & Gynecology)
3883 AIRWAY DR STE 165, SUITE 3
SANTA ROSA, CA 95403
Physician Assistant (Medical)
3883 AIRWAY DR STE 165
SANTA ROSA, CA 95403
Nurse Practitioner
3883 AIRWAY DR STE 165
SANTA ROSA, CA 95403
Orthopaedic Surgery
3883 AIRWAY DR STE 165
SANTA ROSA, CA 95403
Orthopaedic Surgery
3883 AIRWAY DR STE 165
SANTA ROSA, CA 95403
Orthopaedic Surgery (Sports Medicine)
3883 AIRWAY DR STE 165
SANTA ROSA, CA 95403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619527371, enumerated as an "individual" on September 16, 2019.

The provider is located at 3883 AIRWAY DR STE 165 SANTA ROSA, CA 95403 and the phone number is (707) 521-7799.

Physician Assistant with taxonomy code 363A00000X.