DR. TIMOTHY EMERSON SKIDMORE D.D.S
NPI 1033109954
Dentist - General Practice in Geneva, IL

Q: What is Timothy Skidmore's NPI number?

The NPI number for Timothy Skidmore is 1033109954. It was assigned to this individual provider in the NPPES registry on October 22, 2005.

Q: What is Timothy Skidmore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Skidmore was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 22, 2005PECOS Enrolled

39W250 HERRINGTON BLVD STE F1, GENEVA, IL 60134(630) 208-0051 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Timothy Emerson Skidmore D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY EMERSON SKIDMORE D.D.S (NPI 1033109954) is an individual general practice provider in Geneva, Illinois, licensed in Illinois (019025894) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033109954

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TIMOTHY EMERSON SKIDMORECredential: D.D.S

Location Address39W250 HERRINGTON BLVD STE F1Geneva, IL 60134

Mailing Address430 W Erie StChicago, IL 60610-4032 · (815) 399-7777

Phone(630) 208-0051

Sole ProprietorNo

Enumeration DateOctober 22, 2005

Last NPPES UpdateJune 12, 2018

✔ NPI 1033109954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019025894

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

39W250 HERRINGTON BLVD STE F1, Geneva, IL 60134

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Emerson Skidmore D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Skidmore's NPI number?

The NPI number for Timothy Skidmore is 1033109954. It was assigned to this individual provider in the NPPES registry on October 22, 2005.

Where is Timothy Skidmore located?

Timothy Skidmore practices at 39w250 Herrington Blvd Ste F1, Geneva, IL 60134. The listed phone number is (630) 208-0051.

What is Timothy Skidmore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Timothy Skidmore enrolled in Medicare?

Yes. Timothy Skidmore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Skidmore was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.