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
Other Identifiers 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Mcglone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portsmouth, OH 45662
- Reassigned Medicare billing, Ohio enrollment
- 549 clinicians in this Medicare group
Portsmouth, OH 45662
- Reassigned Medicare billing, Ohio enrollment
- 54 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.
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 17
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.
Which organizations bill Medicare for Timothy Mcglone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Mcglone reassigns Medicare benefits to 2 organizations: Somc Medical Care Foundation, Inc. (Portsmouth, OH) and Epmg Of Ohio Inc P A (Portsmouth, OH). 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 Mcglone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Timothy Craig Mcglone · NPI 1861443004
Family Medicine physician in Waverly, Ohio. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1861443004 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35.072782 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 835 W EMMITT AVE, Waverly, OH 45690-1190
- **Phone:** (740) 947-7662 · **Fax:** (740) 941-0099
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Somc Medical Care Foundation, Inc. (NPI 1366686230, Portsmouth, OH); Epmg Of Ohio Inc P A (NPI 1841232196, Portsmouth, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 1994
## Record status
- **NPPES last updated:** December 23, 2020
- **Other identifiers:** Medicaid 2016035 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1861443004) · Data from the CMS NPPES public registry.