Active NPI
Timothy Charles Childers, M.D.
- Surgery Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME73071
- Practice address
- 1181 Orange Ave
Winter Park, FL 32789-4907 - Phone
- (407) 647-1331
- Fax
- (407) 571-2757
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME73071 | FL | Primary |
Addresses
Primary practice location
1181 Orange Ave
Winter Park, FL 32789-4907
Mailing address
1181 Orange Ave
Winter Park, FL 32789-4907
Phone (407) 647-1331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020050628 | Other | FL | PALMETTO GBA - RAILROAD MEDICARE |
| 258553700 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Florida College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1181 Orange Ave
Winter Park, FL 32789-4907
Phone (407) 647-1331
Hospital & facility affiliations
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.17 of 100
- Quality
- 88.33
- Improvement activities
- 40
- Cost
- 77.07
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 12 |
| Hernia repair (minimally invasive) | 26 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Central Florida PA | Specialist | Current | Accepting new patients |
| QSS-Southeast Clinical Services LLC | Surgery | Current | Accepting new patients |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Surgery | Current | Accepting new patients |
Locations
36468 Emerald Coast Pkwy
Ste 1101
Destin, FL 32541
Phone (850) 290-2154
1340 S 18th St
Ste 104
Fernandina Beach, FL 32034
Phone (904) 277-3277
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
4215 Edgewater Dr
Orlando, FL 32804
Phone (407) 539-2000
1181 Orange Ave
Winter Park, FL 32789
Phone (407) 571-2751
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- timothy.childers.1@9109.direct.athenahealth.com
- timothy.childers.1@32979.direct.athenahealth.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.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Surgery Physician
- Winter Park, FL
- NPI 1689778185
Specialist
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Surgery Physician
- Orlando, FL
- NPI 1740521137
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1982609921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1181 ORANGE AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894907",
"telephone_number": "407-647-1331",
"fax_number": "407-571-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 ORANGE AVE",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894907",
"telephone_number": "407-647-1331",
"fax_number": "407-571-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "TIMOTHY",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME73071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA - RAILROAD MEDICARE",
"identifier": "020050628",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258553700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.