Individual provider Active NPI

Timothy H Trotter, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oklahoma City, OK
National Provider Identifier
1285602532
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
15909 Issued in OK
Practice address
825 NE 10TH St
Oupb2500
Oklahoma City, OK 73104-5417
Phone
(405) 271-5789
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15909 OK
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 15909 OK Primary

Addresses

Primary practice location

825 NE 10TH St
Oupb2500
Oklahoma City, OK 73104-5417

Mailing address

1122 NE 13TH St
Ori236
Oklahoma City, OK 73117-1039
Phone (405) 271-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130523000018 MS Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 5395751663 Reassigns benefits to 2 organizations
I20250221000084 TX Practitioner - Cardiac Surgery 5395751663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2800 E Broad St
Suite 514
Mansfield, TX 76063-6417
Phone (214) 948-2076

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15909OKMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jan 27, 2025 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Sep 1, 2024 Accepting new patients
Medhealth CurrentSince Jan 27, 2025 Accepting new patients
Vicksburg Healthcare LLC CurrentSince Sep 1, 2024 Accepting new patients
Vicksburg Clinic LLC CurrentSince Feb 16, 2013 Accepting new patients
Comanche County Healthcare Corporation Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Vicksburg Clinic LLC Surgery Past Accepting new patients

Locations

54 Sgt Prentiss Dr
Ste 103
Natchez, MS 39120
Phone (601) 883-5858

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

221 W Colorado Blvd
Ste 438
Dallas, TX 75208

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2800 E Broad St
Ste 514
Mansfield, TX 76063
Phone (682) 253-2986

Interoperability endpoints

  • Direct secure messaging: timothy.trotter.2@1475.direct.athenahealth.com

Organizations & group practices 8

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": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1285602532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST",
            "address_2": "ORI236",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-271-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST",
            "address_2": "OUPB2500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "405-271-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "TIMOTHY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "15909",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": "15909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.