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DR. TIMOTHY J KISTLER D.C.
NPI 1043366347
Chiropractor in Quincy, MA

Active since January 27, 2007Accepts Medicare Assignment
111 WILLARD ST STE 2A, QUINCY, MA 02169(617) 804-7464(617) 471-1114 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2021, May 14, 2021 (2 updates tracked since 2021).

About Dr. Timothy J Kistler D.c. NPPES

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

DR. TIMOTHY J KISTLER D.C. (NPI 1043366347) is an individual chiropractor in Quincy, Massachusetts, licensed in Massachusetts (3594) and active in the NPI registry since January 2007. He maintains a secondary practice location in Indianapolis and is a graduate of Palmer College Chiropractic - Davenport (1988).

NPPES Registry Identity

NPI1043366347
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TIMOTHY J KISTLERCredential: D.C.
Location Address111 WILLARD ST STE 2AQuincy, MA 02169-1274
Mailing Address703 Granite St, Ste 3Braintree, MA 02184-5350 · (317) 826-2273 · Fax (317) 826-2673
Phone(617) 804-7464
Fax(617) 471-1114
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1988
Enumeration DateJanuary 27, 2007
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1043366347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MA · 3594
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 08001237 (IN)
111 WILLARD ST STE 2A, Quincy, MA 02169
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Secondary Practice Location 1

Location 15845 Sunnyside Rd, Suite 800Indianapolis, IN 46235-8402 · Phone (317) 826-2273 · Fax (317) 826-2673

Other Identifiers 5

Other000000344943IN · Bcbs
OtherP00006924IN · Railroad Medicare
OtherAETNAIN · 4351909
Medicaid200077400AIN
Other6904776002IN · Cigna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy J Kistler D.c. 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 ID2466402839
PECOS Enrollment IDI20231011001261

Medicare Billing Reassignments

3

Medicare enrollment records show Timothy Kistler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bay State Physical Therapy Of Randolph Inc
Same address
Chiropractor
111 WILLARD ST STE 2A
Quincy, MA 02169
  • Reassigned Medicare billing, Massachusetts enrollment
  • 703 clinicians in this Medicare group
NPI 1316507627 (617) 471-4491
Life Clinic Of Ma PC
8.7 mi
Chiropractor
300 BOYLSTON ST
Chestnut Hill, MA 02467
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group
NPI 1225568975 (339) 927-4379
North Augusta Chiropractic, LLC
846 mi
Chiropractor
1810 KNOX AVE STE B
North Augusta, SC 29841
  • Reassigned Medicare billing, South Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1598178709 (803) 599-5902

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

RACHEL WADKINS DPT
Physical Therapist
111 WILLARD ST STE 2A
QUINCY, MA 02169
Norfolk County (617) 770-0022
JENNYFER FRANCA DC
Chiropractor
111 WILLARD ST STE 2A
QUINCY, MA 02169
Norfolk County (617) 471-4491
KATELYN MCCARTHY DPT
Physical Therapist
111 WILLARD ST STE 2A
QUINCY, MA 02169
Norfolk County (617) 770-0022
SYDNEY BALDRIDGE DPT
Physical Therapist
111 WILLARD ST STE 2A
QUINCY, MA 02169
Norfolk County (617) 770-0022
MILTON CHIROPRACTIC AND REHABILITATION INC
Chiropractor
111 WILLARD ST STE 2A
QUINCY, MA 02169
Norfolk County (617) 770-0022
JULIO E CRUZ DC
Chiropractor
111 WILLARD ST STE 2A
QUINCY, MA 02169
Norfolk County (617) 471-4491
MATTHEW DOYLE DC
Chiropractor
111 WILLARD ST STE 2A
QUINCY, MA 02169
Norfolk County (617) 471-4491
BAY STATE PHYSICAL THERAPY OF RANDOLPH INC
Chiropractor
111 WILLARD ST STE 2A
QUINCY, MA 02169
Norfolk County (617) 471-4491

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 Kistler's NPI number?

The NPI number for Timothy Kistler is 1043366347. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Where is Timothy Kistler located?

Timothy Kistler practices at 111 Willard St Ste 2A, Quincy, MA 02169. The listed phone number is (617) 804-7464.

What is Timothy Kistler's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Timothy Kistler enrolled in Medicare?

Yes. Timothy Kistler 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.

Which organizations bill Medicare for Timothy Kistler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Kistler reassigns Medicare benefits to 3 organizations: Bay State Physical Therapy Of Randolph Inc (Quincy, MA), Life Clinic Of Ma PC (Chestnut Hill, MA) and North Augusta Chiropractic, LLC (North Augusta, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Kistler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Kistler was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.