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TIMOTHY JOHN MCCARREN M.D.
NPI 1649234311
Family Medicine in Cincinnati, OH

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
6331 GLENWAY AVENUE, CINCINNATI, OH 45211(513) 389-1400(513) 347-2119 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy John Mccarren M.d. NPPES

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

TIMOTHY JOHN MCCARREN M.D. (NPI 1649234311) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35042276) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1977).

NPPES Registry Identity

NPI1649234311
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY JOHN MCCARRENCredential: M.D.
Location Address6331 GLENWAY AVENUECincinnati, OH 45211
Mailing AddressPo Box 706152Cincinnati, OH 45270-6152 · (513) 619-5014 · Fax (513) 619-8713
Phone(513) 389-1400
Fax(513) 347-2119
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1977
Enumeration DateApril 12, 2006
Last NPPES UpdateJanuary 12, 2011
✔ NPI 1649234311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35042276
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.
6331 GLENWAY AVENUE, Cincinnati, OH 45211
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Other Identifiers 3

Medicare ID-Type UnspecifiedMC0585978OH
Medicaid0415303OH
Medicare UPINA77564OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Timothy John Mccarren 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 ID1850287822
PECOS Enrollment IDI20050804001068
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 2

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 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.
26 services26 patients
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.
24 services22 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45211 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Referred Medical Equipment & Supplies CMS DME claims 9

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
10 suppliers34 claims76 services$5.81 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$34.17 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims1,204 services$0.04 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers12 claims720 services$0.67 avg. paid by Medicare
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims360 services$0.13 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.70 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.

ELIZABETH ANN HOLLSTEGGE RD LD CDE
Dietitian, Registered
6331 GLENWAY AVENUE
CINCINNATI, OH 45211
Hamilton County (513) 389-1400
WALTER EDMUND DONNELLY M.D.
Family Medicine
6331 GLENWAY AVENUE
CINCINNATI, OH 45211
Hamilton County (513) 389-1400

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 Mccarren's NPI number?

The NPI number for Timothy Mccarren is 1649234311. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Timothy Mccarren located?

Timothy Mccarren practices at 6331 Glenway Avenue, Cincinnati, OH 45211. The listed phone number is (513) 389-1400.

What is Timothy Mccarren's specialty?

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

Is Timothy Mccarren enrolled in Medicare?

Yes. Timothy Mccarren 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 Mccarren accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Timothy Mccarren 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 Mccarren affiliated with any hospitals?

According to CMS data, Timothy Mccarren is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Mccarren was last updated on January 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.