DR. TIMOTHY EDWIN PHELAN M.D.
NPI 1760543375
Obstetrics & Gynecology in Folsom, CA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
1621 CREEKSIDE DR, 102, FOLSOM, CA 95630(916) 984-7428 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Timothy Edwin Phelan M.d. NPPES

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

DR. TIMOTHY EDWIN PHELAN M.D. (NPI 1760543375) is an individual obstetrics & gynecology provider in Folsom, California, licensed in California (G084901) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (1992).

NPPES Registry Identity

NPI1760543375
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. TIMOTHY EDWIN PHELANCredential: M.D.
Location Address1621 CREEKSIDE DR, 102Folsom, CA 95630-3493
Mailing Address1621 Creekside Dr, 102Folsom, CA 95630-3493 · (916) 984-7428
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1992
Enumeration DateDecember 13, 2006
Last NPPES UpdateFebruary 9, 2024
NPPES CertifiedFebruary 9, 2024
NPI 1760543375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · G084901
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1621 CREEKSIDE DR, Folsom, CA 95630

Other Identifiers 2

OtherG084901CA · Ca License Number
Other00G849011CA · Medical Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Edwin Phelan 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 ID6507038536
PECOS Enrollment IDI20111017000273
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.
32 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dentist
1621 CREEKSIDE DR, SUITE 101
FOLSOM, CA 95630
Specialist
1621 CREEKSIDE DR, 102
FOLSOM, CA 95630

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 Phelan's NPI number?

The NPI number for Timothy Phelan is 1760543375. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Timothy Phelan located?

Timothy Phelan practices at 1621 Creekside Dr 102, Folsom, CA 95630. The listed phone number is (916) 984-7428.

What is Timothy Phelan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Timothy Phelan enrolled in Medicare?

Yes. Timothy Phelan 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.

When was this NPI record last updated?

The NPPES record for Timothy Phelan was last updated on February 9, 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.