TIMOTHY HUBBARD PA-C
NPI 1669889390
Physician Assistant - Medical in Springfield, MO

Q: What is Timothy Hubbard's NPI number?

The NPI number for Timothy Hubbard is 1669889390. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Q: What is Timothy Hubbard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: Is Timothy Hubbard enrolled in Medicare?

No. Timothy Hubbard has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Timothy Hubbard was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 15, 2014Opted out of Medicare · through Jan 1, 2028

10.11/100

CMS Quality Rating

1335 E REPUBLIC RD STE D, SPRINGFIELD, MO 65804(417) 363-3900(417) 313-9998 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2023, Aug 8, 2019, Aug 29, 2018 and 1 more (4 updates tracked since 2015).

On this page

About Timothy Hubbard Pa-c NPPES

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

TIMOTHY HUBBARD PA-C (NPI 1669889390) is an individual medical provider in Springfield, Missouri, licensed in Missouri (2014023848) and active in the NPI registry since July 2014. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer, is affiliated with Cox Medical Centers, and is a graduate of University Of North Dakota School Of Medicine (2014).

NPPES Registry Identity

NPI1669889390

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameTIMOTHY HUBBARDCredential: PA-C

Location Address1335 E REPUBLIC RD STE DSpringfield, MO 65804-7220

Mailing Address1335 E Republic Rd Ste DSpringfield, MO 65804-7220 · (417) 363-3900 · Fax (417) 313-9998

Phone(417) 363-3900

Fax(417) 313-9998

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2014

Enumeration DateJuly 15, 2014

Last NPPES UpdateJanuary 16, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2023

✔ NPI 1669889390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MO · 2014023848

1335 E REPUBLIC RD STE D, Springfield, MO 65804

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Timothy Hubbard Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

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.

10.11/100

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

Individually scored

Quality

Improvement Activities

Cost

33.71

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

100%39 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers56 claims56 services$17.41 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers12 claims12 services$4.08 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers84 claims84 services$94.22 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers25 claims25 services$36.53 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 5

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

LINDSEY MAE BLACK PNP

Nurse Practitioner (Pediatrics)