1. Home
  2. Directory
  3. Kentucky
  4. Tompkinsville
  5. Family Medicine
  6. NPI Profile

DR. TIMOTHY DALE HUME M.D.
NPI 1619975240
Family Medicine in Tompkinsville, KY

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
96.68/100
CMS Quality Rating
1515 EDMONTON RD, TOMPKINSVILLE, KY 42167(270) 487-9272(270) 487-6242 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Timothy Dale Hume M.d. NPPES

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

DR. TIMOTHY DALE HUME M.D. (NPI 1619975240) is an individual family medicine provider in Tompkinsville, Kentucky, licensed in Kentucky (23892) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of University Of Louisville School Of Medicine (1987).

NPPES Registry Identity

NPI1619975240
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY DALE HUMECredential: M.D.
Location Address1515 EDMONTON RDTompkinsville, KY 42167-9402
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 864-1472 · Fax (270) 858-4607
Phone(270) 487-9272
Fax(270) 487-6242
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1987
Enumeration DateJuly 8, 2005
Last NPPES UpdateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1619975240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 23892
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.
1515 EDMONTON RD, Tompkinsville, KY 42167
Open in Google Maps ↗

Other Identifiers 3

OtherANTHEMKY · 000000049273
Medicaid64238926KY
Medicaid99346TN

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

Dr. Timothy Dale Hume 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 ID3577557438
PECOS Enrollment IDI20040413000969
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.

Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
92 services14 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
50 services44 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
32 services22 patients

Hospital Affiliations CMS Care Compare 2

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180017
Location1301 North Race StreetGlasgow, KY 42141 · Barren County
Emergency services Birthing friendly

Monroe County Medical Center

Acute Care Hospitals · Tompkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180105
Location529 Capp Harlan RoadTompkinsville, KY 42167 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42167 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

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
9 suppliers80 claims179 services$3.72 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers31 claims36 services$0.67 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$5.99 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.46 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers13 claims26 services$2.02 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers23 claims23 services$55.52 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 3

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

LAURA INABNITT DO
Family Medicine
1515 EDMONTON RD
TOMPKINSVILLE, KY 42167
Monroe County (270) 487-9272
JACK D ANDERSON DO
Family Medicine
1515 EDMONTON RD
TOMPKINSVILLE, KY 42167
Monroe County (270) 487-9272
CUMBERLAND FAMILY MEDICAL CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1515 EDMONTON RD
TOMPKINSVILLE, KY 42167
Monroe County (270) 487-9272

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 Hume's NPI number?

The NPI number for Timothy Hume is 1619975240. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Timothy Hume located?

Timothy Hume practices at 1515 Edmonton Rd, Tompkinsville, KY 42167. The listed phone number is (270) 487-9272.

What is Timothy Hume's specialty?

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

Is Timothy Hume enrolled in Medicare?

Yes. Timothy Hume 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 Hume accept?

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

According to CMS data, Timothy Hume is affiliated with T J Samson Community Hospital and Monroe County Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Hume was last updated on June 10, 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.