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Active NPI 1205899481 Individual Practitioner Male Practitioner

Dr. Timothy A Diller , MD

Surgery • Jacksonville, AR

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Diller, MD is a registered healthcare professional specializing in Surgery in Jacksonville, AR. Practice services are available at 1400 BRADEN ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 Braden St
Emergency Dept

Jacksonville, AR 720763721

Telephone 5019857000
Associated Practice Facility / Clinic
🏢 Pulaski Emergency Group Llc Facility NPI 1174509673

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Jacksonville, AR (301 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
131 123 $476.00 $171.57
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
88 80 $35.00 $8.34
99284 Emergency department visit with moderate level of medical decision making
41 40 $318.00 $116.50
99283 Emergency department visit with low level of medical decision making
23 22 $213.00 $61.32

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301044283

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License AR T2007-006

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
164478001 (AR)
Commercial Insurance / Payer ID Healthlink
786546 (AR)
Commercial Insurance / Payer ID Railroad Mcard
P01027351
Commercial Insurance / Payer ID Qc
07100015600 (AR)
Commercial Insurance / Payer ID Aetna
5086184 (AR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. George Gray , DO

Family Medicine

NPI 1023072105

Doctor of Osteopathic Medicine (D.O.)

Jabbar Joshua

Family Medicine

NPI 1164556460
Tammy Copeland , CRNA

Nurse Anesthetist, Certified Registered

NPI 1487870283

Certified Registered Nurse Anesthetist

Dr. Sunita Bonde , DO

Emergency Medicine

NPI 1902862956

Doctor of Osteopathic Medicine (D.O.)

Dr. Nasir Zareen , MD

Emergency Medicine

NPI 1972709418

Doctor of Medicine (M.D.)

Dr. Mark Hemeyer , MD

Family Medicine

NPI 1992808851

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2012

Registered at 1400 BRADEN ST, EMERGENCY DEPT, JACKSONVILLE, AR 720763721 (Tel: 5019857000)

📍
Updated Business Mailing Address June 19, 2012

Registered at PO BOX 3925, SHREVEPORT, LA 711333925 (Tel: 8006840052)

👤
Provider Name / Credentials Updated June 19, 2012

Recorded as TIMOTHY DILLER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2012

Surgery (License #4301044283 in MI)

🟢
Initial NPI Registration & Enumeration April 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205899481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2006
Last Update: June 19, 2012
Sole Proprietor: No

Mailing Address

Po Box 3925

Shreveport, LA 711333925

Phone: 8006840052

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.