DR. TIMOTHY KAVANAUGH MD
NPI 1053304766
Orthopaedic Surgery in Scottsdale, AZ
Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
21.84/100
CMS Quality Rating
10200 N 92ND ST STE 225, SCOTTSDALE, AZ 85258(480) 697-4824(480) 697-4825 Get Directions Write a Review
About Dr. Timothy Kavanaugh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY KAVANAUGH MD (NPI 1053304766) is an individual orthopaedic surgery provider in Scottsdale, Arizona, licensed in Arizona (58251) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
NPI1053304766
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. TIMOTHY KAVANAUGHCredential: MD
Location Address10200 N 92ND ST STE 225Scottsdale, AZ 85258-4536
Mailing Address10200 N 92nd St Ste 225Scottsdale, AZ 85258-4536 · (480) 697-4824 · Fax (480) 697-4825
Phone(480) 697-4824
Fax(480) 697-4825
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 26, 2005
Last NPPES UpdateNovember 21, 20224 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1053304766 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in AZ · 58251✔ Licensed in AK · 4942
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
10200 N 92ND ST STE 225, Scottsdale, AZ 85258
Other Identifiers 2
Medicaid997601AZ
OtherZ228811AZ · Medicare
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..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
Dr. Timothy Kavanaugh Md 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 ID4486693546
PECOS Enrollment IDI20190703000602
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 19
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.
Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
1,360 services582 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
770 services63 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
632 services478 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
561 services561 patients
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453
Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
530 services486 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
350 services316 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85258 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
21.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scoredQuality
0
Improvement Activities
0
Cost
72.8
Reported Quality Measures
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
46%1,552 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
11%38 patients1/55-star benchmark: 100%
Functional Outcome Assessment
Percentage of visits for patients aged 18 years and older with documentation of a current functional outcome assessment using a standardized functional outcome assessment tool on the date of the encounter AND documentation of a care plan based on identified…
5%1,024 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
53%116 patients3/55-star benchmark: 100%
Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
69%543 patients3/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
10%1,026 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
2%321 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
10%865 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
0%443 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 252 patients
83%252 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
43%252 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
33%321 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
3%222 patients1/55-star benchmark: 97%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
34%321 patients2/55-star benchmark: 79%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
81%235 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 450 patients
5%450 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
2 suppliers155 claims156 services$71.75 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L1832
DME-Orthotic Devices · category DF011N
2 suppliers11 claims11 services$559.86 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$110.27 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Podiatrist (Foot & Ankle Surgery)
10200 N 92ND ST STE 225
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
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 Kavanaugh's NPI number?
The NPI number for Timothy Kavanaugh is 1053304766. It was assigned to this individual provider in the NPPES registry on August 26, 2005.
Where is Timothy Kavanaugh located?
Timothy Kavanaugh practices at 10200 N 92nd St Ste 225, Scottsdale, AZ 85258. The listed phone number is (480) 697-4824.
What is Timothy Kavanaugh's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Timothy Kavanaugh enrolled in Medicare?
Yes. Timothy Kavanaugh 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 Kavanaugh accept?
Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Timothy Kavanaugh 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.
When was this NPI record last updated?
The NPPES record for Timothy Kavanaugh was last updated on November 21, 2022. 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.
# Dr. Timothy Kavanaugh, MD · NPI 1053304766
Orthopaedic Surgery physician in Scottsdale, Arizona. Individual provider, active in the CMS NPPES registry since August 26, 2005.
## Identity
- **NPI:** 1053304766 (Entity type: Individual)
- **Enumerated:** August 26, 2005
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 58251 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 10200 N 92ND ST STE 225, Scottsdale, AZ 85258-4536
- **Phone:** (480) 697-4824 · **Fax:** (480) 697-4825
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** November 21, 2022
- **Other identifiers:** Medicaid 997601 (AZ); Other Z228811 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1053304766) · Data from the CMS NPPES public registry.