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TIMOTHY SMITH
NPI 1720860232
Physician Assistant - Surgical in Newberg, OR

Active since October 18, 2023PECOS EnrolledAccepts Medicare Assignment
448 N WERTH BLVD, NEWBERG, OR 97132(503) 554-2521 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Smith NPPES

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

TIMOTHY SMITH (NPI 1720860232) is an individual surgical provider in Newberg, Oregon, licensed in Oregon (PA223551) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720860232
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTIMOTHY SMITH
Location Address448 N WERTH BLVDNewberg, OR 97132-7500
Mailing Address230 Ne Fircrest Dr Apt 301Mcminnville, OR 97128-9214
Phone(503) 554-2521
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 18, 2023
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1720860232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · PA223551
Also ListedPhysician AssistantTaxonomy 363A00000X
448 N WERTH BLVD, Newberg, OR 97132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan.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 Smith 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 ID6709307994
PECOS Enrollment IDI20250304002487
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.

Hospital Affiliations CMS Care Compare 2

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

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381308
Location525 SE Washington StreetDallas, OR 97338 · Polk County
Emergency services

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.

BRITNY CRISTINA RUILOVA TELLEZ
Physician Assistant
448 N WERTH BLVD
NEWBERG, OR 97132
Yamhill County (949) 929-1906
NIRA AVARI
Student in an Organized Health Care Education/Training Program
448 N WERTH BLVD
NEWBERG, OR 97132
Yamhill County (503) 554-2521
MADELYN ROSE KENNEDY
Student in an Organized Health Care Education/Training Program
448 N WERTH BLVD
NEWBERG, OR 97132
Yamhill County (503) 554-2521
JOHN PHUOC HUYNH DO
Physician Assistant
448 N WERTH BLVD
NEWBERG, OR 97132
Yamhill County (503) 538-8383
COURTNEY MARIE FISHER
Student in an Organized Health Care Education/Training Program
448 N WERTH BLVD
NEWBERG, OR 97132
Yamhill County (503) 554-2521
MCKINLEY AARON GILLUM
Student in an Organized Health Care Education/Training Program
448 N WERTH BLVD
NEWBERG, OR 97132
Yamhill County (503) 538-8383
LILLIAN MAY PARKS
Student in an Organized Health Care Education/Training Program
448 N WERTH BLVD
NEWBERG, OR 97132
Yamhill County (503) 554-2521
AMELIA SARAH TESULOV
Student in an Organized Health Care Education/Training Program
448 N WERTH BLVD
NEWBERG, OR 97132
Yamhill County (503) 538-8383

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 Smith's NPI number?

The NPI number for Timothy Smith is 1720860232. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Timothy Smith located?

Timothy Smith practices at 448 N Werth Blvd, Newberg, OR 97132. The listed phone number is (503) 554-2521.

What is Timothy Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Timothy Smith enrolled in Medicare?

Yes. Timothy Smith 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 Smith accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc. and Providence Health Plan list Timothy Smith 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 Smith affiliated with any hospitals?

According to CMS data, Timothy Smith is affiliated with Salem Hospital and West Valley Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Smith was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.