TIMOTHY F. STEINMETZ M.D.
NPI 1043203540
Family Medicine in River Falls, WI

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
319 S MAIN ST, RIVER FALLS, WI 54022(715) 425-6701 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy F. Steinmetz M.d. NPPES

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

TIMOTHY F. STEINMETZ M.D. (NPI 1043203540) is an individual family medicine provider in River Falls, Wisconsin, licensed in Wisconsin (26185) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043203540
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY F. STEINMETZCredential: M.D.
Location Address319 S MAIN STRiver Falls, WI 54022-2452
Mailing Address319 S Main StRiver Falls, WI 54022-2452 · (715) 425-6701 · Fax (715) 425-7075
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 30, 2005
Last NPPES UpdateJuly 25, 2023
NPPES CertifiedJuly 25, 2023
NPI 1043203540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 26185
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 26185 (WI)
319 S MAIN ST, River Falls, WI 54022

Secondary Practice Locations 2

Location 1711 W Adams StBlack River Falls, WI 54615-9108 · Phone (715) 284-1375
Location 21687 E Division StRiver Falls, WI 54022-1571 · Phone (715) 425-6701

Other Identifiers 1

Medicaid30758500WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy F. Steinmetz M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800797259
PECOS Enrollment IDI20100714000899, I20190808003919
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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
224 services150 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
212 services150 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
158 services114 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
108 services96 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
80 services59 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
79 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54022 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers24 claims52 services$5.28 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$4.74 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers14 claims14 services$9.39 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers12 claims67 services$1.44 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers28 claims28 services$44.75 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier12 claims12 services$309.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
319 S MAIN ST
RIVER FALLS, WI 54022
Family Medicine
319 S MAIN ST
RIVER FALLS, WI 54022
Obstetrics & Gynecology
319 S MAIN ST
RIVER FALLS, WI 54022
Orthopaedic Surgery
319 S MAIN ST
RIVER FALLS, WI 54022
Clinic/Center
319 S MAIN ST
RIVER FALLS, WI 54022
Nurse Practitioner (Family)
319 S MAIN ST
RIVER FALLS, WI 54022
Pharmacist
319 S MAIN ST
RIVER FALLS, WI 54022
Pediatrics
319 S MAIN ST
RIVER FALLS, WI 54022

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 Steinmetz's NPI number?

The NPI number for Timothy Steinmetz is 1043203540. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Timothy Steinmetz located?

Timothy Steinmetz practices at 319 S Main St, River Falls, WI 54022. The listed phone number is (715) 425-6701.

What is Timothy Steinmetz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Steinmetz enrolled in Medicare?

Yes. Timothy Steinmetz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Steinmetz accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Timothy Steinmetz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Steinmetz affiliated with any hospitals?

According to CMS data, Timothy Steinmetz is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Timothy Steinmetz was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.