DR. TIM DOCKMAN D.O.
NPI 1992090088
General Practice in Virginia Beach, VA

Active since June 16, 2011PECOS EnrolledAccepts Medicare Assignment
2533 PLEASURE HOUSE RD, VIRGINIA BEACH, VA 23455(619) 865-6893 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tim Dockman D.o. NPPES

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

DR. TIM DOCKMAN D.O. (NPI 1992090088) is an individual general practice provider in Virginia Beach, Virginia, licensed in California (18587) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1992090088
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. TIM DOCKMANCredential: D.O.
Location Address2533 PLEASURE HOUSE RDVirginia Beach, VA 23455-1359
Mailing Address2533 Pleasure House RdVirginia Beach, VA 23455-1359 · (619) 865-6893
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 16, 2011
Last NPPES UpdateAugust 26, 2022
NPPES CertifiedAugust 26, 2022
✔ NPI 1992090088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 18587
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2533 PLEASURE HOUSE RD, Virginia Beach, VA 23455

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

Dr. Tim Dockman D.o. 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 ID4486066958
PECOS Enrollment IDI20201208001144
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 Billing Reassignment

Medicare enrollment records show Tim Dockman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
3799 MT DIABLO BLVD STE 100
Lafayette, CA 94549
  • Reassigned Medicare billing, California enrollment
  • 10 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.

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 Tim Dockman's NPI number?

The NPI number for Tim Dockman is 1992090088. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Tim Dockman located?

Tim Dockman practices at 2533 Pleasure House Rd, Virginia Beach, VA 23455. The listed phone number is (619) 865-6893.

What is Tim Dockman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Tim Dockman enrolled in Medicare?

Yes. Tim Dockman 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 organization bills Medicare for Tim Dockman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tim Dockman reassigns Medicare benefits to Stat Med PC A California Medical Professional Corporation (Lafayette, CA). The 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 Tim Dockman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tim Dockman was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.