MR. TIMOTHY JAMES THAI MSN, FNP-C
NPI 1720593999
Family Medicine in Penfield, NY

Active since December 08, 2017PECOS EnrolledAccepts Medicare Assignment
92.1/100
CMS Quality Rating
2134 PENFIELD RD, PENFIELD, NY 14526(585) 276-8280 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2025, Mar 17, 2018, Dec 8, 2017 (3 updates tracked since 2017).

About Mr. Timothy James Thai Msn, Fnp-c NPPES

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

MR. TIMOTHY JAMES THAI MSN, FNP-C (NPI 1720593999) is an individual family medicine provider in Penfield, New York, licensed in New York (342344) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720593999
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. TIMOTHY JAMES THAICredential: MSN, FNP-C
Location Address2134 PENFIELD RDPenfield, NY 14526-1736
Mailing Address2134 Penfield RdPenfield, NY 14526-1736
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 8, 2017
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1720593999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 342344
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 342344 (NY)
2134 PENFIELD RD, Penfield, NY 14526

Secondary Practice Locations 3

Location 142 Nichols StSpencerport, NY 14559-2180 · Phone (585) 349-7094
Location 23400 Monroe AveRochester, NY 14618-4725 · Phone (585) 203-1055
Location 31300 Jefferson Rd Ste 100Rochester, NY 14623-3195 · Phone (585) 413-1800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Timothy James Thai Msn, Fnp-c 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 ID5890058457
PECOS Enrollment IDI20180412000379
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

5

Medicare enrollment records show Timothy Thai reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
1300 JEFFERSON RD, SUITE 100
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 112 clinicians in this Medicare group
General Practice
625 ELMWOOD AVE, BOX 683
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
Emergency Care
601 ELMWOOD AVE, BOX 655
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 197 clinicians in this Medicare group
Multi-Specialty
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 124 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group

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

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.
41 services41 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14526 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

92.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.73
Promoting Interoperability100
Improvement Activities40
Cost84.36

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.

Nurse Practitioner (Family)
2134 PENFIELD RD
PENFIELD, NY 14526
Nurse Practitioner (Family)
2134 PENFIELD RD
PENFIELD, NY 14526
Physician Assistant
2134 PENFIELD RD
PENFIELD, NY 14526

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 Thai's NPI number?

The NPI number for Timothy Thai is 1720593999. It was assigned to this individual provider in the NPPES registry on December 8, 2017.

Where is Timothy Thai located?

Timothy Thai practices at 2134 Penfield Rd, Penfield, NY 14526. The listed phone number is (585) 276-8280.

What is Timothy Thai's specialty?

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

Is Timothy Thai enrolled in Medicare?

Yes. Timothy Thai 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.

Which organizations bill Medicare for Timothy Thai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Thai reassigns Medicare benefits to 5 organizations: University Of Rochester Urgent Care (Rochester, NY), University Of Rochester (Rochester, NY), Emergency Associates - University Of Rochester (Rochester, NY), Observation Associates Of The University Of Rochester (Rochester, NY) and North Shore-Lij Medical PC (Great Neck, NY). 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 Thai'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 Thai was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.