Individual provider Active NPI

Trent J Timson, D.P.M.

  • Podiatrist
  • McPherson, KS
National Provider Identifier
1033229448
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1200301 Issued in KS
Practice address
316 W 4TH St
McPherson, KS 67460-2301
Phone
(620) 241-3313
Fax
(620) 241-6967
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1200301 KS Primary

Addresses

Primary practice location

316 W 4TH St
McPherson, KS 67460-2301

Mailing address

316 W 4TH St
McPherson, KS 67460-2301
Phone (620) 241-3313

Other identifiers 2

IdentifierTypeStateIssuer
5067668OtherKSAETNA
100317700AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100327000030 KS Practitioner - Podiatry 2668508805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

316 W 4TH St
McPherson, KS 67460-2301
Phone 6202413313620241

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
10 of 100Reported as individual
Quality
20
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue162
Removal of nail tissue1573
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1200301KSMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foot Clinic of McPherson LLC Podiatrist CurrentSince Mar 1, 2013 Accepting new patients
Community Foot Clinic of McPherson LLC Past Accepting new patients

Locations

701 S Main St
Hillsboro, KS 67063
Phone (620) 947-3114

605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308

1000 Hospital Dr
McPherson, KS 67460
Phone (316) 241-2250

316 W 4th St
McPherson, KS 67460
Phone (620) 241-3313

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1033229448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 4TH ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602301",
            "telephone_number": "620-241-3313",
            "fax_number": "620-241-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 4TH ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602301",
            "telephone_number": "620-241-3313",
            "fax_number": "620-241-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMSON",
        "first_name": "TRENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "1200301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5067668",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100317700A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

Verify at the official NPI Registry.