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MR. TIMOTHY ADAM KOEHLER PA-C
NPI 1902058308
Physician Assistant in Raleigh, NC

Active since October 16, 2008PECOS EnrolledAccepts Medicare Assignment
4450 FAYETTEVILLE RD, RALEIGH, NC 27603(919) 772-3154(910) 893-9850 Get Directions Write a Review

NPPES record last updated: October 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Timothy Adam Koehler Pa-c NPPES

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

MR. TIMOTHY ADAM KOEHLER PA-C (NPI 1902058308) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (001001539) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1902058308
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY ADAM KOEHLERCredential: PA-C
Location Address4450 FAYETTEVILLE RDRaleigh, NC 27603-3612
Mailing Address100 S 10th StLillington, NC 27546-6690 · (910) 893-4111 · Fax (910) 893-9850
Phone(919) 772-3154
Fax(910) 893-9850
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 16, 2008
✔ NPI 1902058308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 001001539
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4450 FAYETTEVILLE RD, Raleigh, NC 27603
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Insurance Corporation of Ohio, SummaCare.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

Mr. Timothy Adam Koehler Pa-c 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 ID4385875582
PECOS Enrollment IDI20140402000521
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

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

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27603 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

BOSS URGENT CARE PLLC
Clinic/Center (Urgent Care)
4450 FAYETTEVILLE RD
RALEIGH, NC 27603
Wake County (919) 567-3139
MED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
Family Medicine
4450 FAYETTEVILLE RD
RALEIGH, NC 27603
Wake County (919) 772-3154

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 Koehler's NPI number?

The NPI number for Timothy Koehler is 1902058308. It was assigned to this individual provider in the NPPES registry on October 16, 2008.

Where is Timothy Koehler located?

Timothy Koehler practices at 4450 Fayetteville Rd, Raleigh, NC 27603. The listed phone number is (919) 772-3154.

What is Timothy Koehler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Koehler enrolled in Medicare?

Yes. Timothy Koehler 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 Koehler accept?

Health plans from CareSource, Oscar Insurance Corporation of Ohio and SummaCare list Timothy Koehler 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 Koehler affiliated with any hospitals?

According to CMS data, Timothy Koehler is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Koehler was last updated on October 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.