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Deactivated NPI 1871552489 Deactivated / Inactive NPI Male Practitioner

Dr. Byron Burton Timberlake , MD

Specialist • Winchester, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Byron Timberlake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2006
NPI Deactivation Date August 31, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Byron Timberlake, MD was a registered Specialist practicing in Winchester, VA. Throughout an active medical career spanning 16 years, Dr. Timberlake provided care at the practice location at 900 S PLEASANT VALLEY RD until profile deactivation on 2022-08-31.

Historical Medicare Part B clinical services included professional service for preparation and provision of, professional service for multiple injections of allergen, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

900 S Pleasant Valley Rd

Winchester, VA 226015152

Telephone 5406623174
Fax 5406623518
Associated Practice Facility / Clinic
🏢 Charles Smith, Dds, Pllc Facility NPI 1548005432

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Winchester, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.5 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Winchester, VA (878 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens
4,438 153 $16.50 $14.51
95117 Professional service for multiple injections of allergen
1,724 107 $33.00 $10.61
99213 Established patient office or other outpatient visit, typically 15 minutes
283 230 $175.00 $74.81
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
222 191 $105.00 $50.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
46 46 $210.00 $105.85
92567 Eardrum testing using ear probe
37 30 $75.00 $15.35
92563 Hearing test using earphones
27 27 $65.00 $29.29
92557 Comprehensive hearing and speech recognition test
27 27 $120.00 $37.23

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101021719

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Charles Smith , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1174977169

Doctor of Dental Surgery

Roberta Demski

Hearing Instrument Specialist

NPI 1831756410

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 31, 2022

Record deactivated on August 31, 2022

NPI Profile Active November 15, 2012

NPI status registered as active in NPPES database

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Updated Practice Location November 15, 2012

Registered at 900 S PLEASANT VALLEY RD, WINCHESTER, VA 226015152 (Tel: 5406623174)

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Updated Business Mailing Address November 15, 2012

Registered at 900 S PLEASANT VALLEY RD, WINCHESTER, VA 226015152 (Tel: 5406623174)

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Provider Name / Credentials Updated November 15, 2012

Recorded as BYRON TIMBERLAKE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2012

Specialist (License #0101021719 in VA)

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Initial NPI Registration & Enumeration March 22, 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: 1871552489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2006
Last Update: November 15, 2012
Deactivation Date: August 31, 2022

Mailing Address

900 S Pleasant Valley Rd

Winchester, VA 226015152

Phone: 5406623174

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.