Timothy J Williams, M.D.

Key facts

NPI

1508893595

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

036-133608 (IL)

Practice address

901 W Walnut St
Metamora, IL 61548-8637

Phone

(309) 367-4144

Fax

(309) 383-4063

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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.

• Osf Multi-Specialty Group Internal Medicine Physician · Peoria, IL · NPI 1922445527
  Medicare reassignment Care Compare group NPD IL
• KSB Medical Group, Inc. Family Medicine Physician · Dixon, IL · NPI 1073592119
  Medicare reassignment NPD FAMILY MEDICINE · IL
• KSB Medical Group, Inc. Eyewear Supplier · Dixon, IL · NPI 1306814603
  NPD
• Central PA Pharmacy LLC. Community/Retail Pharmacy · Patton, PA · NPI 1578541413
  NPD
• Bestpractices of Illinois PC Emergency Medicine Physician · Bloomington, IL · NPI 1760439517
  NPD (past)

Hospital & facility affiliations 5

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

• CGH Medical Center General Acute Care Hospital · Sterling, IL · NPI 1902854623
  Care Compare affiliation Hospital
• JKCD Healthcare Consulting, LLC Home Health Agency · Moline, IL · NPI 1184150419
  Care Compare affiliation Home health agency
• Osf Healthcare System General Acute Care Hospital · Dixon, IL · NPI 1508683590
  Care Compare affiliation Hospital
• Saint Anthony Medical Center Home Health Agency · Loves Park, IL · NPI 1023051992
  Care Compare affiliation Home health agency
• Swedishamerican Hospital General Acute Care Hospital · Rockford, IL · NPI 1760542732
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osf Multi-Specialty Group (2,123 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Healthcare Home Care Home health agency · Loves Park, IL · CCN 147271
• In-Home Care Connection Home Health Services Home health agency · Moline, IL · CCN 148146
• Osf Saint Katharine Medical Center Hospital · Dixon, IL · CCN 140012
• CGH Medical Center Hospital · Sterling, IL · CCN 140043
• Saint Francis Medical Center Hospital · Peoria, IL · CCN 140067
• Uw Health Hospital · Rockford, IL · CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score

82.78 of 100 (group)

Quality

60.49

Promoting interoperability

100

Improvement activities

40

Cost

77.11

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 29, 2016.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1508893595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W WALNUT ST",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615488637",
            "telephone_number": "309-367-4144",
            "fax_number": "309-383-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W WALNUT ST",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615488637",
            "telephone_number": "309-367-4144",
            "fax_number": "309-383-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001585",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-133608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metamora, IL

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• Michael Whitford, MD
• Susan Wolf, APN
• Woodford County Spec Ed Assoc
• Trent David Yoder, DMD

All providers in Metamora, IL · Family Medicine Physician in Illinois