Timothy Stapleton, MD
NPI 1609836402 · Orthopaedic Surgery Physician · Macon, GA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Stapleton, MD is a Orthopaedic Surgery Physician provider in Macon, GA (NPI 1609836402).
Provider details
- NPI number
- 1609836402
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 36295 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,072 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 251 | $82 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 173 | $29 |
| X-Ray of Knee, 1-2 Views73560 | 139 | $30 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 81 | $113 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 66 | $61 |
| X-Ray of Knee, 3 Views73562 | 64 | $36 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 722 | 382 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 329 | 168 |
| Celecoxib | 197 | 100 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 124 | 110 |
| Ondansetronbrand: Ondansetron Odt | 120 | 107 |
| Carisoprodol | 111 | 74 |
| Mupirocin | 110 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$167 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Frequently asked questions
- What is Timothy Stapleton's NPI number?
- Timothy Stapleton's National Provider Identifier (NPI) is 1609836402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Stapleton's specialty?
- Timothy Stapleton is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy Stapleton located?
- Timothy Stapleton's practice location on file with NPPES is 3708 Northside Dr, Macon, GA 31210-2404.
- What is Timothy Stapleton's phone number?
- The practice phone number listed in the NPPES registry for Timothy Stapleton is (478) 745-4206.
- Does Timothy Stapleton accept Medicare?
- Timothy Stapleton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Stapleton's NPI active?
- Yes — Timothy Stapleton's NPI (1609836402) is active in the NPPES registry as of the last update on 2025-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.