Individual provider Active NPI

Timothy Jon Storer, MD

  • Dermatology Physician
  • Delaware, OH
National Provider Identifier
1376501734
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
350791535 Issued in OH
Practice address
12 Lexington Blvd
Delaware, OH 43015-4071
Phone
(740) 362-0794
Fax
(740) 368-4118
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 350791535 OH Primary

Addresses

Primary practice location

12 Lexington Blvd
Delaware, OH 43015-4071

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (614) 544-6366

Other practice location 1

3595 Olentangy River Rd
Columbus, OH 43214-3440
Phone (614) 566-5456

Other identifiers 1

IdentifierTypeStateIssuer
2248946MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tstorer101039@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050728001284 OH Practitioner - Dermatology 1254369432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Cincinnati College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Area Physicians LLCGroup PAC ID 1850549437, 179 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

1040 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936

1050 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936

12 Lexington Blvd
Delaware, OH 43015-4071
Phone (800) 282-6741

3595 Olentangy River Rd
Columbus, OH 43214-3440
Phone (614) 566-5456

6 Lexington Blvd
Delaware, OH 43015-1047
Phone (800) 282-6741

651 W Marion Rd
Mount Gilead, OH 43338-1027
Phone (800) 282-6741

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions1304
Removal or shaving of skin growth1-10
Skin biopsy139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350791535OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Area Physicians LLC Dermatology CurrentSince Oct 28, 2012 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3595 Olentangy River Rd
Columbus, OH 43214
Phone (614) 556-5456

Dept L3652
Columbus, OH 43260

12 Lexington Blvd
Delaware, OH 43015
Phone (740) 363-9021

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

Organizations & group practices 5

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 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1376501734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "614-544-6366",
            "fax_number": "614-544-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LEXINGTON BLVD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154071",
            "telephone_number": "740-362-0794",
            "fax_number": "740-368-4118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3595 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143440",
            "country_code": "US",
            "telephone_number": "614-566-5456",
            "fax_number": "614-566-6902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORER",
        "first_name": "TIMOTHY",
        "middle_name": "JON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "350791535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2248946",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tstorer101039@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "12 Lexington Blvd",
            "city": "Delaware",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430154071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.