Active NPI
Timothy H Trotter, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 15909
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15909 | OK | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Vicksburg Healthcare LLC | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Vicksburg Healthcare LLC | Current | Accepting new patients | |
| Vicksburg Clinic LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
-
dba River Region Health System
- Anesthesiology Physician
- Vicksburg, MS
- NPI 1629084058
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
dba Merit Health River Region
- General Acute Care Hospital
- Vicksburg, MS
- NPI 1215981303
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Mansfield Medical Center
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.