Individual provider Active NPI

Timothy Craig McGlone

  • Family Medicine Physician
  • Waverly, OH
National Provider Identifier
1861443004
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.072782 Issued in OH
Practice address
835 W Emmitt Ave
Waverly, OH 45690-1190
Phone
(740) 947-7662
Fax
(740) 941-0099
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.072782 OH
Family Medicine Physician 207Q00000X 35.072782 OH Primary

Addresses

Primary practice location

835 W Emmitt Ave
Waverly, OH 45690-1190

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Other identifiers 1

IdentifierTypeStateIssuer
2016035MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.mcglone@somc.medicity.net

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
I20061102000216 OH Practitioner - Emergency Medicine 9436156593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Northeastern Ohio University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-7290

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117

835 W Emmitt Ave
Waverly, OH 45690-1190
Phone (740) 947-7662

8770 Ohio River Rd
Wheelersburg, OH 45694-1918
Phone (740) 574-9090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.072782OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Aug 11, 2018 Accepting new patients
Epmg of Ohio Inc P a Emergency Medicine CurrentSince Aug 29, 2011 Accepting new patients
Somc Medical Care Foundation, Inc. Family Medicine CurrentSince Aug 11, 2018 Accepting new patients
Adena Medical Group LLC Family Medicine Past Accepting new patients

Locations

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

835 W Emmitt Ave
Waverly, OH 45690
Phone (740) 356-5944

8770 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 355-4120

Interoperability endpoints

  • Direct secure messaging: mcglonec@somc.gwaydirect.com

Organizations & group practices 4

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 1

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1861443004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 W EMMITT AVE",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456901190",
            "telephone_number": "740-947-7662",
            "fax_number": "740-941-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLONE",
        "first_name": "TIMOTHY",
        "middle_name": "CRAIG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.072782",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.072782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016035",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.mcglone@somc.medicity.net",
            "affiliation": "N",
            "address_1": "835 W Emmitt Ave",
            "city": "Waverly",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456901190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

Verify at the official NPI Registry.