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TIMOTHY WILLIAM ROEDDER DO
NPI 1063874295
Internal Medicine - Pulmonary Disease in Salem, MA

Active since March 26, 2016PECOS EnrolledAccepts Medicare Assignment
55 HIGHLAND AVE STE 104, SALEM, MA 01970(978) 745-4489 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2022, Mar 26, 2016 (2 updates tracked since 2016).

About Timothy William Roedder Do NPPES

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

TIMOTHY WILLIAM ROEDDER DO (NPI 1063874295) is an individual pulmonary disease provider in Salem, Massachusetts, licensed in Massachusetts (292649) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063874295
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTIMOTHY WILLIAM ROEDDERCredential: DO
Location Address55 HIGHLAND AVE STE 104Salem, MA 01970-2100
Mailing Address55 Highland Ave Ste 104Salem, MA 01970-2100 · (978) 745-4489
Phone(978) 745-4489
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 26, 2016
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1063874295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MA · 292649
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 292649 (MA)
55 HIGHLAND AVE STE 104, Salem, MA 01970
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 William Roedder Do 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 ID8628360047
PECOS Enrollment IDI20220922000322
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 13

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
276 services123 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
110 services110 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
106 services106 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
90 services90 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
85 services70 patients
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.
59 services51 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 2

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

DANIEL DUSTIN DO
Internal Medicine (Pulmonary Disease)
55 HIGHLAND AVE STE 104
SALEM, MA 01970
Essex County (978) 745-4489
DR. AVALON MERTENS DO
Student in an Organized Health Care Education/Training Program
55 HIGHLAND AVE STE 104
SALEM, MA 01970
Essex County (978) 745-4489

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 Roedder's NPI number?

The NPI number for Timothy Roedder is 1063874295. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Where is Timothy Roedder located?

Timothy Roedder practices at 55 Highland Ave Ste 104, Salem, MA 01970. The listed phone number is (978) 745-4489.

What is Timothy Roedder's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Timothy Roedder enrolled in Medicare?

Yes. Timothy Roedder 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 Roedder accept?

Health plans from Anthem Blue Cross and Blue Shield list Timothy Roedder 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 Roedder affiliated with any hospitals?

According to CMS data, Timothy Roedder is affiliated with North Shore Medical Center - and Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Roedder was last updated on September 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.