Individual provider Active NPI

Timothy Donald McShurley, M.D.

  • Interventional Cardiology Physician
  • Panama City, FL
National Provider Identifier
1295984748
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME146673 Issued in FL
Practice address
625 W Baldwin Road Suite C
Panama City, FL 32405-3359
Phone
(850) 769-0329
Fax
(844) 212-7396
NPI assigned
Sep 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A114658 CA
Interventional Cardiology Physician 207RI0011X ME146673 FL Primary
Interventional Cardiology Physician 207RI0011X A114658 CA

Addresses

Primary practice location

625 W Baldwin Road Suite C
Panama City, FL 32405-3359

Mailing address

625 W Baldwin Rd
Suite C
Panama City, FL 32405
Phone (850) 769-0329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200810002293 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4789857343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Econfina Cardiology Group PAGroup PAC ID 0840180204, 18 clinicians

Practice addresses (Care Compare)

17745 Ashley Dr
Panama City Beach, FL 32413-5120
Phone (850) 769-0329

Hospital & facility affiliations

  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313
  • Northwest Florida Community Hospital Hospital, Chipley, FL, CCN 101308

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.35
Promoting interoperability
96
Improvement activities
40
Cost
75.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114658CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Econfina Cardiology Group, PA Cardiovascular Disease CurrentSince Sep 1, 2020 Accepting new patients

Locations

1936 Jenks Ave
Panama City, FL 32405
Phone (850) 763-5959

801 E 6th St
Panama City, FL 32401
Phone (850) 747-6018

625 W Baldwin Rd
Ste C
Panama City, FL 32405
Phone (850) 769-6612

625 W Baldwin Rd
Ste D
Panama City, FL 32405
Phone (850) 820-7900

17745 Ashley Dr
Panama City Beach, FL 32413

Organizations & group practices 1

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 4

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1295984748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN RD",
            "address_2": "SUITE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32405",
            "telephone_number": "850-769-0329",
            "fax_number": "844-212-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W BALDWIN ROAD SUITE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053359",
            "telephone_number": "850-769-0329",
            "fax_number": "844-212-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHURLEY",
        "first_name": "TIMOTHY",
        "middle_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A114658",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME146673",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A114658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.