Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Dustin William Tims, PA-C

Individual provider Surgical Physician Assistant · NPI 1518204056

Mr. Dustin William Tims, PA-C is a Physician Assistant in Edmond, Oklahoma. Qualified in 2012, 14 years ago. Practices with Neurosurgical Services PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1257 E 33rd St
Edmond, OK 73013-6307
Phone: (405) 757-2430
Fax: (405) 757-6017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2226 (OK)

Record details

NPI number1518204056
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2013
Last updated in NPPESNovember 27, 2020
Certification dateNovember 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Neurosurgical Services Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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