1. Home
  2. Directory
  3. Georgia
  4. Moultrie
  5. Dentist
  6. NPI Profile

DR. TIMOTHY B. FAGAN DMD
NPI 1871754614
Dentist - General Practice in Moultrie, GA

Active since June 24, 2008PECOS Enrolled
7 LONG LEAF OFFICE PARK, MOULTRIE, GA 31768(229) 985-4674 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy B. Fagan Dmd NPPES

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

DR. TIMOTHY B. FAGAN DMD (NPI 1871754614) is an individual general practice provider in Moultrie, Georgia, licensed in Georgia (DN011154) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871754614
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TIMOTHY B. FAGANCredential: DMD
Location Address7 LONG LEAF OFFICE PARKMoultrie, GA 31768-6781
Mailing AddressPo Box 160Moultrie, GA 31776-0160 · (229) 985-4674
Phone(229) 985-4674
Sole ProprietorYes
Enumeration DateJune 24, 2008
✔ NPI 1871754614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN011154
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7 LONG LEAF OFFICE PARK, Moultrie, GA 31768
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy B. Fagan Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31768 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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 Fagan's NPI number?

The NPI number for Timothy Fagan is 1871754614. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Timothy Fagan located?

Timothy Fagan practices at 7 Long Leaf Office Park, Moultrie, GA 31768. The listed phone number is (229) 985-4674.

What is Timothy Fagan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Timothy Fagan enrolled in Medicare?

Yes. Timothy Fagan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Fagan was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.