DR. TIMOTHY ROY ORI JR. M.D.
NPI 1720215577
Internal Medicine - Critical Care Medicine in Cincinnati, OH

Active since June 19, 2009PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
234 GOODMAN ST, CINCINNATI, OH 45219(513) 475-8523(513) 475-8523 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2024, Jan 17, 2023, Apr 26, 2022 and 2 more (5 updates tracked since 2015).

About Dr. Timothy Roy Ori Jr. M.d. NPPES

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

DR. TIMOTHY ROY ORI JR. M.D. (NPI 1720215577) is an individual critical care medicine provider in Cincinnati, Ohio, licensed in Ohio (35137049) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1720215577
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. TIMOTHY ROY ORI JR.Credential: M.D.
Location Address234 GOODMAN STCincinnati, OH 45219-2364
Mailing Address2830 Victory Parkway Ml 806Cincinnati, OH 45263-1723 · (513) 245-3104 · Fax (513) 585-5511
Fax(513) 475-8523
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2009
Enumeration DateJune 19, 2009
Last NPPES UpdateJuly 13, 20245 updates tracked since enumeration
NPPES CertifiedJuly 13, 2024
NPI 1720215577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in OH · 35137049 Licensed in VA · 0101259059
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License N8700 (TX), 0101259059 (VA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 0101259059 (VA)
234 GOODMAN ST, Cincinnati, OH 45219

Secondary Practice Location 1

Location 1600 Gresham Dr Ste 8630BNorfolk, VA 23507-1904 · Phone (757) 388-6115 · Fax (757) 275-9998

Accepted 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 Roy Ori Jr. 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 ID3476799370
PECOS Enrollment IDI20190826001865
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
96 services53 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
38 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services18 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.
26 services23 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
25 services25 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Anesthesiology
234 GOODMAN ST, MAIL LOCATION 0796
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Internal Medicine (Critical Care Medicine)
234 GOODMAN ST
CINCINNATI, OH 45219
Physician Assistant
234 GOODMAN ST
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
234 GOODMAN ST, THORACIC SURGERY
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Anesthesiology
234 GOODMAN ST
CINCINNATI, OH 45219
Pharmacist
234 GOODMAN ST
CINCINNATI, OH 45219

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 Ori's NPI number?

The NPI number for Timothy Ori is 1720215577. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Timothy Ori located?

Timothy Ori practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 475-8523.

What is Timothy Ori's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Timothy Ori enrolled in Medicare?

Yes. Timothy Ori 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 Ori accept?

Health plans from CareSource, Molina Healthcare and Oscar Health Insurance list Timothy Ori 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 Ori affiliated with any hospitals?

According to CMS data, Timothy Ori is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Ori was last updated on July 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.