DR. TIMOTHY DERRICK DO MD NPI 1043464639

NPI Information

  • NPI: 1043464639
  • Provider Name: DR. TIMOTHY DERRICK DO, MD
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4689 US HIGHWAY 17
    SUITE 11
    ORANGE PARK, FL
    ZIP 32003
  • Phone: (904) 269-7007

Map and Directions

Get Directions

NPI Details

DR. Timothy Derrick Do, MD is a neurological surgery in Orange Park, FL. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. DR. Timothy Derrick Do, MD NPI is 1043464639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4689 US HIGHWAY 17
SUITE 11
ORANGE PARK, FL
ZIP 32003-831
Phone: (904) 269-7007
Fax: (866) 264-0529

The NPI 1043464639 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Testing of nerve-muscle junction (HCPCS:95937)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
  • Needle measurement of electrical activity in trunk or head muscles (HCPCS:95887)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Nerve conduction, 13 or more studies (HCPCS:95913)
  • Nerve conduction, 11-12 studies (HCPCS:95912)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Measurement of brain wave activity (eeg), awake and drowsy (HCPCS:95816)

The enumeration date for this NPI number is 11/9/2008 and was last updated on 1/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological Surgery150583DISTRICT OF COLUMBIANo
2207T00000XNeurological SurgeryME111835FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1009327000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.