1. Home
  2. Directory
  3. Ohio
  4. Sandusky
  5. Physician Assistant
  6. NPI Profile

TIMOTHY R HALSTEAD P.A.-C
NPI 1952304651
Physician Assistant - Surgical in Sandusky, OH

Active since May 27, 2005PECOS Enrolled
71.56/100
CMS Quality Rating
703 TYLER ST. SUITE 252, SANDUSKY, OH 44870(419) 609-8000(419) 609-8002 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy R Halstead P.a.-c NPPES

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

TIMOTHY R HALSTEAD P.A.-C (NPI 1952304651) is an individual surgical provider in Sandusky, Ohio, licensed in Ohio (50001298) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952304651
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTIMOTHY R HALSTEADCredential: P.A.-C
Location Address703 TYLER ST. SUITE 252Sandusky, OH 44870
Mailing Address703 Tyler St. Suite 252Sandusky, OH 44870 · (419) 609-8000 · Fax (419) 609-8002
Phone(419) 609-8000
Fax(419) 609-8002
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateSeptember 7, 2012
✔ NPI 1952304651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 50001298
703 TYLER ST. SUITE 252, Sandusky, OH 44870
Open in Google Maps ↗

Other Identifiers 2

Medicare PINHAPA13522OH
Medicare UPINS80616OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy R Halstead P.a.-c 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.

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.

71.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.54
Improvement Activities40

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 Halstead's NPI number?

The NPI number for Timothy Halstead is 1952304651. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Timothy Halstead located?

Timothy Halstead practices at 703 Tyler St. Suite 252, Sandusky, OH 44870. The listed phone number is (419) 609-8000.

What is Timothy Halstead's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Timothy Halstead enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Timothy Halstead was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.