Timothy R Lavender, D.O.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

02627 Issued in KY

Practice address

108 N Auxier Ave
Pikeville, KY 41501-9045

Phone

(606) 432-9106

Fax

(606) 432-0967

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Dermatology

Education

West Virginia School of Osteopathic Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044

Merit-based Incentive Payment System (MIPS)

Final score

91.57 of 100Reported as individual

Quality

83.14

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Pikeville Dermatology & Cosmetic Center, PSC

  • Procedural Dermatology Physician
  • Pikeville, KY
  • NPI 1235343419
  Medicare reassignment NPD Authorized official
• Dermatology Associates of Pikeville, PLLC

  • Dermatology Physician
  • Pikeville, KY
  • NPI 1811285117
  NPD (past)
• Ronald D Hall MD

  • Specialist
  • Pikeville, KY
  • NPI 1093825705
  NPD (past)

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

• Pikeville Medical Center Inc

  • General Acute Care Hospital
  • Pikeville, KY
  • NPI 1285621623
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1669426003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N AUXIER AVE",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415019045",
            "telephone_number": "606-432-9106",
            "fax_number": "606-432-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N AUXIER AVE",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415019045",
            "telephone_number": "606-432-9106",
            "fax_number": "606-432-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "KY",
            "license": "02627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64005812",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Laferty, D.C.
• Ami Lakin, RBT
• April D. Lambert, CRNA
• Walter Lane, BA MHA
• Abdel Rahman Lataifeh, MBBS
• Ruth Faye Lavigne, MD
• Mason Tyler Layne, RBT
• Andrea Shae Lee, NP-C
• Kara Lee
• Kristy Lee, LSW

• Procedural Dermatology Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Procedural Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.

Verify at the official NPI Registry.