Tim Napier
Partner
Tim Napier is the firm's co-founder, and an accomplished trial attorney concentrating in high-severity medical malpractice defense litigation. Over a career spanning three decades, he has earned a reputation for integrity, meticulous preparation, and credibility before juries and judges—qualities that have consistently defined his practice and produced exceptional results for his clients.
Tim's courtroom work is characterized by an unwavering attention to detail and command of both medicine and the law. His clients—physicians, hospitals and healthcare institutions—trust him with their most complex and high-risk cases, knowing that his disciplined approach, ethical advocacy, and clarity of presentation resonate with jurors.
Kentucky Super Lawyers® has selected Tim for inclusion every year since 2007, an honor reserved for the top 5% of attorneys in the state. In 2026, Tim was named to the Super Lawyers® “Top 50” list for the fourth time (recognizing those Kentucky lawyers who received the highest point totals during the selection process). Tim holds an AV Preeminent® rating from Martindale-Hubbell, reflecting the highest level of professional excellence for legal ability and ethical standards. He is also a Fellow of the Litigation Counsel of America, a distinction awarded to less than one-half of one percent of American lawyers.
As lead trial counsel, Tim has secured defense verdicts in some of Kentucky’s most complex medical malpractice and wrongful death cases. His experience spans numerous medical specialties—including infectious diseases, cardiothoracic surgery, psychiatry, neurosurgery, and emergency medicine. Tim has successfully defended cases at both trial and appellate levels. Each result reflects his belief that credibility, preparation, and integrity are the foundations of effective advocacy.
Beyond the courtroom, Tim is a sought-after lecturer and educator, presenting regularly at departmental grand grounds, as well as at statewide medical and legal symposia. His lectures and publications—covering topics such as trial advocacy, discovery disputes, and ethics—demonstrate a commitment to advancing both the profession and the fair administration of justice.
Tim has served in numerous leadership roles, including President of the Kentucky Academy of Healthcare Attorneys, Chair of the Louisville Bar Association’s Small Firm Section, and multiple terms on the Attorney Steering Committee for Citizens for Better Judges.
Originally from Central Kentucky, Tim attended the University of Louisville as an Army ROTC scholarship cadet where he was the program's 1989 George C. Marshall Award winner—a national honor given to the top ROTC cadet at each university. Following graduation, he trained as an armor officer and served in the 100th Division (USAR), rising to the rank of Captain. In 1993, Tim earned his law degree from the University of Louisville School of Law, where he was a member of the Journal of Law and Education and served as a judicial intern to Judge Michael O. McDonald, Court of Appeals of Kentucky.
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Direct: (502) 855-3801
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High Severity Medical Malpractice Defense
Wrongful Death
Catastrophic Injury
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Lead Trial Counsel for infectious diseases specialist facing wrongful death suit. Plaintiffs’ expert alleged that I.D. specialist failed to diagnose Bactrim-induced-meningitis. Successfully proved at trial that Bactrim-induced-meningitis is rare, and the I.D. specialist’s diagnosis and treatment were reasonable under the circumstances. After nearly three weeks of trial, jury returned a defense verdict.
Lead Trial Counsel for cardiothoracic surgeon and physician’s assistant facing malpractice suit. Patient developed peripheral nerve injury following emergency CABG procedure. Patient and his experts alleged that injury could only be the result of negligence. Defended that surgeon and PA performed the surgery properly, and nerve palsy is a rare but reported complication of CABG. Unanimous defense verdict.
Lead Trial Counsel for psychiatrist facing wrongful death suit. Family alleged that physician's decision to discharge patient who later committed suicide was below the standard of care. Provider had strong defense that patient did not meet statutory criteria for involuntary hospitalization. Unanimous defense verdict.
Lead Trial Counsel for primary care provider facing wrongful death suit. Family alleged that provider delayed the diagnosis of patient's rare form of colorectal cancer. Provider had strong defenses on both standard of care and causation. After two week trial, unanimous defense verdict.
Lead Trial Counsel for hospital facing nursing malpractice suit. Plaintiff was rendered a paraplegic while recovering in the ICU from aneurysm surgery. High-risk claim involving complex medicine, extensive damages and multiple expert witnesses. After a two-week jury trial, obtained a unanimous defense verdict. Successfully defended hospital on appeal (brief and oral argument).
Trial Co-Counsel for hospital facing wrongful death suit. Ten experts testified in the case which involved complex nephrology and cardiology issues. After a three week trial, the jury returned a defense verdict for the hospital.
Trial Co-Counsel for hospital facing wrongful death suit. Case involved complex anaesthesiology and oncology issues. After a two-week jury trial, obtained a unanimous defense verdict.
Before Trial
Successful Daubert challenge in failure-to-diagnose transverse myelitis case. After cross-examining opposing expert at federal court hearing, Court ruled that expert's opinion regarding defendant radiologist's "read rates" was neither relevant nor reliable.
Obtained summary judgment dismissing claim against vascular surgeon who placed an IVC filter that later caused fetal demise. At the conclusion of expert discovery, successfully argued that this was the first ever reported case of fetal demise following placement of an IVC filter. Court agreed that plaintiff's complication was not foreseeable. Claim against surgeon dismissed, without appeal.
Successfully defended appeal of a failure-to-timely diagnose and treat a cardiac event case. Patient sued community hospital, alleging that the staff delayed his transfer to another facility. Trial judge dismissed the claim for lack of expert proof, and patient appealed. Authored winning brief in favor of hospital.
After completing discovery, negotiated voluntary dismissal (not settlement) of the following claims:
Alleged failure to timely diagnose fatal acute disseminated encephalomyelitis ("ADEM"). (Defended pediatric neurologist.)
Inadvertent arterial cannulation during central line placement. (Defended emergency medicine physician.)
Alleged failure to recognize and treat misplaced pedicle screw following fusion surgery. (Defended neurosurgeon.)
Alleged improper placement of central venous catheter. (Defended cardiologist.)
Alleged failure to timely diagnose hepatocellular carcinoma. (Defended hepatologist.)
Alleged paraplegia resulting from spinal cord stimulator revision. (Defended neurosurgeon.)
Alleged failure to order appropriate DVT prophylaxis. (Defended orthopedic surgery residents.)
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Named to the Kentucky Super Lawyers® “Top 50” list in 2026, 2025, 2024 and 2022. (Recognition list that highlights the most outstanding lawyers in Kentucky based on a rigorous selection process involving peer nominations and independent research.)
Selected for inclusion annually from 2007 to 2026 in the Kentucky Super Lawyers® publication, based upon peer recognition and professional achievement
AV-Rated® by Martindale-Hubbell for legal ability and ethical standards
Selected as a Fellow in the Litigation Counsel of America (trial lawyer honorary society composed of less than one-half of one percent of American lawyers)
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"Opening and Closing Statements in the Medical Negligence Case" – University of Louisville School of Law, Trial Practice Skills Course
"Being an Effective Advocate", University of Louisville School of Law, Trial Practice Skills Course
"Hospital-Employed Physicians: Navigating the Ethical and Practical Issues of Joint Defense", Kentucky Academy of Hospital Attorneys, KHA Annual Meeting
Co-Author, "The Treating Physician Witness in a Medical Malpractice Case", KDC's Common Defense
“How to Defend Against Manufactured EMR/EHR Discovery Disputes”, Kentucky Academy of Hospital Attorneys, KHA Annual Meeting
Grand Rounds, University of Louisville Department of Orthopaedic Surgery
Grand Rounds, University of Louisville Department of Neurosurgery
“Discovery in Medical Malpractice Lawsuits”, Kentucky Statewide Trauma and Emergency Medicine Symposium
Grand Rounds, University of Louisville Department of Psychiatry
Grand Rounds, University of Louisville Department of Anesthesia
"Advanced Topics in Law and Medicine", Topics in Clinical Medicine, University of Louisville School of Medicine
"Crisis Charting", Stroke Symposium, University of Louisville Hospital
"Avoiding and Surviving a Malpractice Claim", Trauma Institute, University of Louisville Hospital Trauma Center
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2023-2026, 2012-2015, Attorney Steering Committee Member, Citizens for Better Judges
2012 President, Kentucky Academy of Healthcare Attorneys
2010-2011 Board Member, Kentucky Academy of Healthcare Attorneys
2008 Chair, Small Firm Section, Louisville Bar Association
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Education
JD, University of Louisville School of Law, 1993
Member, Journal of Law and Education
Author, Public Education and the Civil Rights Statutes: Recovering Attorney's Fees Under 42 U.S.C. § 1988,
Vol. 22, No. 2, J. Law and Ed.
Intern to Judge Michael O. McDonald, Court of Appeals of Kentucky
Bachelor of Arts, University of Louisville, 1989
Governor's Scholar Academic Scholarship
Army ROTC Scholarship
Cadet Battalion Commander, Army ROTC
Recipient, 1989 George C. Marshall Award (Awarded to the top Army ROTC cadet from each program in the nation based upon scholarship and leadership)
Woodford County High School, 1985
Professional Training
Graduate, NITA Trial Advocacy Program
Graduate, Certificate Program, Mediation Skills Training, Northwestern University School of Professional Studies
Graduate, Lowry Group Claims Resolution Caucus (negotiation and mediation advocacy)
Military
Captain, Armor Branch, U.S. Army Reserves, 1985-1998
U.S. Army Airborne School, 1987
U.S. Army Armor School, 1990 (Commandant's List - Top 10%)
Operation Desert Shield, 1991 (Assigned to U.S. Army Armor School, Ft. Knox, KY)