TIMOTHY CRAIG MCGLONE
NPI 1861443004
Family Medicine in Waverly, OH
About Timothy Craig Mcglone NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY CRAIG MCGLONE (NPI 1861443004) is an individual family medicine provider in Waverly, Ohio, licensed in Ohio (35.072782) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses 2
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.
Other Identifiers 1
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
Timothy Craig Mcglone 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southern Ohio Medical Center
Acute Care Hospitals · Portsmouth, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45690 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mcglone's NPI number?
The NPI number for Timothy Mcglone is 1861443004. It was assigned to this individual provider in the NPPES registry on May 12, 2006.
Where is Timothy Mcglone located?
Timothy Mcglone practices at 835 W Emmitt Ave, Waverly, OH 45690. The listed phone number is (740) 947-7662.
What is Timothy Mcglone's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Timothy Mcglone enrolled in Medicare?
Yes. Timothy Mcglone 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 Mcglone accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Timothy Mcglone 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 Mcglone affiliated with any hospitals?
According to CMS data, Timothy Mcglone is affiliated with Southern Ohio Medical Center.
When was this NPI record last updated?
The NPPES record for Timothy Mcglone was last updated on December 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
