Karla Timms , NP
Nurse Practitioner • Tyler, TX
1020 E Idel St
Tyler, TX 757012024
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 26, 2013; this date does not establish years in practice.
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Published CMS data list 55 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99239 — Hospital discharge day management: 37 service units.
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 18 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 45 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tramadol Hcl — 21 prescription fills, including refills.
- Celecoxib — 13 prescription fills, including refills.
- Methocarbamol — 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Tyler, TX (2024, 89 clinicians with data). Median for this group: 377. Middle half: 87 to 662.
Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 18 in 2020 to 55 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1020 E Idel St
Tyler, TX 757012024
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Etmc Physician Group, Inc.. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2013
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
65 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $4,322 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $3,439 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
45 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$349 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $497.24 across 15 records.
By nature of payment
- Food and Beverage: $497.24 across 15 records.
Reporting-company totals (3 largest of 7)
- Octapharma USA, Inc.: $206.11 across 4 records.
- VERTEX PHARMACEUTICALS INCORPORATED: $116.98 across 4 records.
- Acera Surgical, Inc.: $58.80 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Karla Timms has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Karla Timms as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Tyler and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Tyler, TX (2024, 89 clinicians with data). Median for this group: 377. Middle half: 87 to 662.
Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Tyler, TX (2024, 89 clinicians with data). Median for this group: $22,550. Middle half: $5,744 to $47,311.
A lower Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $17,068. Middle half: $6,758 to $39,305.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Tyler, TX (2024, 89 clinicians with data). Median for this group: $16,503. Middle half: $4,479 to $34,335.
A lower Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $12,638. Middle half: $4,849 to $28,908.
Medicare Part D prescriptions
Fewer Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Tyler, TX (2024, 79 clinicians with data). Median for this group: 540. Middle half: 148 to 1,714.
Fewer Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.
Part D drug cost
A lower Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Tyler, TX (2024, 79 clinicians with data). Median for this group: $35,748. Middle half: $2,220 to $246,750.
A lower Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.
147 active clinicians are listed under Nurse Practitioner with a practice address in Tyler, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tyler
11.6% of these 147 clinicians have the CMS telehealth indicator.
77.6% of these 147 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services went from 18 in 2020 to 55 in 2024.
- 2020: 18
- 2022: 29
- 2023: 34
- 2024: 55
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Medicare-allowed amount
Medicare-allowed amount went from $682 in 2020 to $4,322 in 2024.
- 2020: $682
- 2022: $2,300
- 2023: $2,912
- 2024: $4,322
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Paid by Medicare
Paid by Medicare went from $547 in 2020 to $3,439 in 2024.
- 2020: $547
- 2022: $1,581
- 2023: $2,245
- 2024: $3,439
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 39% from 74 in 2020 to 45 in 2024.
- 2020: 74
- 2021: 26
- 2022: 42
- 2023: 57
- 2024: 45
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30-day fills
30-day fills decreased 39% from 74 in 2020 to 45 in 2024.
- 2020: 74
- 2021: 26
- 2022: 42
- 2023: 57
- 2024: 45
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Part D drug cost
Part D drug cost went from $441 in 2020 to $349 in 2024.
- 2020: $441
- 2021: $201
- 2022: $368
- 2023: $274
- 2024: $349
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $300.09 in 2021 to $497.24 in 2025.
- 2021: $300.09
- 2022: $14.90
- 2023: $432.89
- 2024: $171.50
- 2025: $497.24
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 15 records totaling $497.24.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Octapharma USA, Inc. |
Food and Beverage
In-kind items and services
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FIBRYGA | General | $116.48 |
| Avita Medical Americas, LLC |
Food and Beverage
Cash or cash equivalent
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Recell | General | $36.56 |
| Acera Surgical, Inc. |
Food and Beverage
In-kind items and services
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Restrata Wound Matrix | General | $35.20 |
| Octapharma USA, Inc. |
Food and Beverage
In-kind items and services
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FIBRYGA | General | $34.08 |
| Octapharma USA, Inc. |
Food and Beverage
In-kind items and services
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FIBRYGA | General | $31.27 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $30.93 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $30.24 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $29.60 |
| VERTEX PHARMACEUTICALS INCORPORATED |
Food and Beverage
In-kind items and services
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JOURNAVX | General | $26.21 |
| Octapharma USA, Inc. |
Food and Beverage
In-kind items and services
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FIBRYGA | General | $24.28 |
| Acera Surgical, Inc. |
Food and Beverage
In-kind items and services
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Restrata Wound Matrix | General | $23.60 |
| Aroa Biosurgery Incorporated |
Food and Beverage
Cash or cash equivalent
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— | General | $21.65 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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STRAVIX PL | General | $21.42 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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STRAVIX PL | General | $18.89 |
| Lungpacer Medical USA Inc |
Food and Beverage
In-kind items and services
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AEROPACE NEUROSTIMULATION CONSOLE | General | $16.83 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99239
Hospital discharge day management, more than 30 minutes
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37 | 37 | $232.00 | $85.90 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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18 | 15 | $163.00 | $63.52 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tramadol Hcl | Tramadol Hcl | 21 | 133 | $79.30 | 21 |
| Celecoxib | Celecoxib | 13 | 164 | $193.64 | 13 |
| Methocarbamol | Methocarbamol | 11 | 104 | $76.29 | 11 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20140505000714
TX
1355574054
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Etmc Physician Group, Inc.
1020 E Idel St, Tyler, TX 757012024
Phone: 9035352902
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Family
AGACNPBCFNPBCRN
Surgery - Surgical Critical Care
Doctor of Medicine (M.D.)
Surgery - Surgical Critical Care
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant (Certified)
Nurse Practitioner - Family
Nurse Practitioner
Career & Practice History
NPI enumerated September 26, 2013.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Tyler
- Charmaine Stotler, APRN, FNP-C, ENP-C
- Julie Adams, NP
- Kimeshia Johnson, FNP-C
- Robert Fenton, FNP-C
- Francisco Rivera, FNP, ACNP
- Dianna Kidwell, APRN, AGACNP-BC
Mailing Address
901 Turtle Creek Dr
Tyler, TX 757011947
Phone: 9035963651