TIMOTHY J MCDERMOTT MD NPI 1972613487

NPI Information

  • NPI: 1972613487
  • Provider Name: TIMOTHY J MCDERMOTT, MD
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1532 LONE OAK RD STE 415
    PADUCAH, KY
    ZIP 42003
  • Phone: (270) 442-0103

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NPI Details

Timothy J Mcdermott, MD is an interventional cardiology internal medicine in Paducah, KY with 42 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Timothy J Mcdermott, MD NPI is 1972613487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1984

The provider's business location address is:

1532 LONE OAK RD STE 415
PADUCAH, KY
ZIP 42003
Phone: (270) 442-0103
Fax: (270) 442-0109

The NPI 1972613487 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.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report (HCPCS:93351)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Ultrasound of heart blood flow, valves and chambers (HCPCS:93320)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • Programming of single lead implantable defibrillator system (HCPCS:93282)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Initial hospital observation care per day, typically 50 minutes (HCPCS:99219)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Injection of x-ray contrast during ultrasound of heart (HCPCS:93352)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Blood test, clotting time (HCPCS:85610)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days (HCPCS:93244)
  • Heart rhythm recording of continous external ekg over 8-15 days (HCPCS:93246)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 8/30/2006 and was last updated on 10/1/2018.

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
1207RC0000XInternal MedicineCardiovascular DiseaseE7468ARKANSASNo
2207RC0000XInternal MedicineCardiovascular DiseaseR3N07MISSOURINo
3207RI0011XInternal MedicineInterventional CardiologyLT15153NORTH DAKOTANo
4207RI0011XInternal MedicineInterventional Cardiology51912KENTUCKYYes

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
1P01161167OTHERMISSOURIRAILROAD MEDICARE
2192825001MEDICAIDARKANSAS
31972613487MEDICAIDMISSOURI
4202840617MEDICAIDMISSOURI

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

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