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TIMOTHY MICHAEL PHELAN M.D.
NPI 1639131584
Obstetrics & Gynecology in Jacksonville, FL

Active since April 05, 2006PECOS Enrolled
2525 RIVERSIDE AVE, JACKSONVILLE, FL 32204(904) 388-0704(904) 387-9095 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2019, Nov 12, 2015 (2 updates tracked since 2015).

About Timothy Michael Phelan M.d. NPPES

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

TIMOTHY MICHAEL PHELAN M.D. (NPI 1639131584) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME28633) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639131584
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTIMOTHY MICHAEL PHELANCredential: M.D.
Location Address2525 RIVERSIDE AVEJacksonville, FL 32204-4710
Mailing AddressPo Box 25317Tampa, FL 33622-5317 · (813) 286-0033 · Fax (813) 282-1806
Phone(904) 388-0704
Fax(904) 387-9095
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateFebruary 26, 20192 updates tracked since enumeration
✔ NPI 1639131584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME28633
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2525 RIVERSIDE AVE, Jacksonville, FL 32204
Open in Google Maps ↗

Other Identifiers 1

Medicaid372361500FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Michael Phelan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

Women's Care Florida LLC
169 mi
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Womens Care Florida LLC
  • 679 clinicians in this Medicare group
NPI 1013902923 (813) 286-0333
Womens' Health Hospitalists, LLC
169 mi
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 619 clinicians in this Medicare group
NPI 1205295599 (813) 286-0333

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

NAOMI E. RHODES A.R.N.P., C.N.M.
Advanced Practice Midwife
2525 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 388-0704
MS. LINDA A KRAMER ARNP
Nurse Practitioner (Obstetrics & Gynecology)
2525 RIVERSIDE AVE
JACKSONVILLE, FL 32204
Duval County (904) 388-0704

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 Phelan's NPI number?

The NPI number for Timothy Phelan is 1639131584. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Timothy Phelan located?

Timothy Phelan practices at 2525 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 388-0704.

What is Timothy Phelan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Timothy Phelan enrolled in Medicare?

Yes. Timothy Phelan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Phelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Phelan reassigns Medicare benefits to 2 organizations: Women's Care Florida LLC (Tampa, FL) and Womens' Health Hospitalists, LLC (Tampa, FL). 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 Phelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Phelan was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.