TIMOTHY ROBERT WOODEAN DC
NPI 1053140954
Chiropractor in Wilson, NY
About Timothy Robert Woodean Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY ROBERT WOODEAN DC (NPI 1053140954) is an individual chiropractor in Wilson, New York, licensed in New York (13855) and active in the NPI registry since July 2024. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy Robert Woodean Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Woodean reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilson, NY 14172
- Reassigned Medicare billing, New York enrollment
Williamsville, NY 14221
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILSON, NY 14172
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 Woodean's NPI number?
The NPI number for Timothy Woodean is 1053140954. It was assigned to this individual provider in the NPPES registry on July 29, 2024.
Where is Timothy Woodean located?
Timothy Woodean practices at 638 Lake St Ste 3, Wilson, NY 14172. The listed phone number is (716) 751-2222.
What is Timothy Woodean's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Timothy Woodean enrolled in Medicare?
Yes. Timothy Woodean is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Timothy Woodean's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Woodean reassigns Medicare benefits to 2 organizations: Timothy R Woodean Chiropractic And Massage Therapy PLLC (Wilson, NY) and Complete Care Chiropractic PC (Williamsville, NY). 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 Woodean'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 Woodean was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Timothy Robert Woodean, DC · NPI 1053140954
Chiropractor provider in Wilson, New York. Individual provider, active in the CMS NPPES registry since July 29, 2024.
## Identity
- **NPI:** 1053140954 (Entity type: Individual)
- **Enumerated:** July 29, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 13855 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 638 LAKE ST STE 3, Wilson, NY 14172-9600
- **Phone:** (716) 751-2222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Timothy R Woodean Chiropractic And Massage Therapy PLLC (NPI 1194537670, Wilson, NY); Complete Care Chiropractic PC (NPI 1386085454, Williamsville, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053140954) · Data from the CMS NPPES public registry.