NPI Data Registry NPPES + PECOS + OIG
NPI DATA REGISTRY (https://npidata.net) — FEDERAL CREDENTIALING & OIG SANCTION AUDIT RECORD
Generated: 2026-11-11 20:28 UTC • Sources: CMS NPPES v2.1 + CMS PECOS + HHS OIG LEIE (84,224 records)
Home › Family Medicine Physicians › ROCKY MOUNT, VA › NPI #1255304168
✓ Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) (207Q00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

TIMOTHY BEIRNE, MD (NPI #1255304168)

Family Medicine • ROCKY MOUNT, VA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1255304168
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207Q00000X (CMS 08)
Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
Box 32 Service Location & ZIP+4
390 S MAIN ST STE 201, ROCKY MOUNT, VA, 24151-1767
✓ 9-Digit EDI 837 ZIP+4 (24151-1767)
Practice Phone & Referral Fax
(540) 484-4800
Fax: (540) 484-4847
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1255304168 (TIMOTHY BEIRNE, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1255304168)

Medicare Beneficiaries
483
Total Billed Services
3,263
Distinct CPT/HCPCS Codes
93
Medicare Allowed Total
$168,836.14

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
36415 Insertion of needle into vein for collection of blood sample365
71046 X-ray of chest, 2 views21
81003 Automated urinalysis test13
81015 Urinalysis using microscope30
83036 Hemoglobin a1c level114
83735 Magnesium level16
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count24
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test128

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Albuterol Sulfate Hfa
Albuterol Sulfate		20679
Alendronate Sodium
Alendronate Sodium		6726
Allopurinol
Allopurinol		15149
Alprazolam
Alprazolam		11940
Amiodarone Hcl
Amiodarone Hcl		19<11
Amitriptyline Hcl
Amitriptyline Hcl		3611
Amlodipine Besylate
Amlodipine Besylate		607192
Amlodipine Besylate-Benazepril
Amlodipine Besylate/Benazepril		20<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1255304168 (NPI-1 Individual Practitioner)
Provider / Legal NameTIMOTHY BEIRNE, MD
Plain-English SpecialtyBoard-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
NUCC Code: 207Q00000X (Family Medicine)
Certifying / Licensing BodyAmerican Board of Family Medicine (ABFM)
Practice Location Address390 S MAIN ST STE 201, ROCKY MOUNT, VA, 24151-1767
Practice Telephone / FaxTel: (540) 484-4800 | Fax: (540) 484-4847
Administrative Mailing Address213 S JEFFERSON ST STE 1006, ROANOKE, VA, 24011-1713
Enumeration & Last SyncEnumerated: 2006-02-10 | CMS Record Updated: 2025-12-18

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

390 S MAIN ST STE 201, ROCKY MOUNT, VA, 24151-1767

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Plain-English Taxonomy & CMS Crosswalk (207Q00000X)

What Does Taxonomy Code 207Q00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207Q00000X translates to:
"Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 08 (Physician/Family Practice)
Certifying / Accrediting Authority: American Board of Family Medicine (ABFM)
Clinical Scope: Annual checkups, blood pressure and diabetes management, BMI and fatty liver screening, urinary tract infections, vaccinations, and continuity of care for the whole family.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TIMOTHY BEIRNE, MD)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Annual Preventive Physical Examination & Cardiometabolic Screening
  • Outpatient ECG / EKG Interpretation (CPT 93000) & Ambulatory BP Monitoring
  • Point-of-Care HbA1c, Lipid Panel, Urinalysis & BMI Risk Stratification
  • Minor Office Procedures: Wound Suturing, Abscess Drainage & Joint Injections
  • Adult & Pediatric Immunization Administration (Tetanus/Tdap, Influenza, HPV)
Common Therapeutic Classes:
  • Metformin, SGLT2 Inhibitors & GLP-1 Receptor Agonists (Type 2 Diabetes)
  • Lisinopril, Losartan & Amlodipine (First-Line Hypertension Management)
  • Atorvastatin & Rosuvastatin (Cardiovascular Lipid Optimization)
  • Nitrofurantoin, Trimethoprim-Sulfamethoxazole & Ciprofloxacin (Outpatient UTIs)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)		State: VA | License: 0101057860 | Primary: Yes (Primary)
207Q00000X — Family Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)		State: VA | License: 0101-057860 | Primary: Secondary
Medical Billing, RCM & Hospital Credentialing Teams:
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