TIMOTHY J SANNER
NPI 1093309569
Physician Assistant in Appleton, WI

Active since February 25, 2021PECOS EnrolledAccepts Medicare Assignment
77.77/100
CMS Quality Rating
701 S NICOLET RD, APPLETON, WI 54914(414) 288-5688 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2021, Jun 29, 2021, Feb 25, 2021 (3 updates tracked since 2021).

About Timothy J Sanner NPPES

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

TIMOTHY J SANNER (NPI 1093309569) is an individual physician assistant in Appleton, Wisconsin, licensed in Wisconsin (5468-23) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093309569
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY J SANNER
Location Address701 S NICOLET RDAppleton, WI 54914-8273
Mailing Address701 S Nicolet RdAppleton, WI 54914-8273
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 25, 2021
Last NPPES UpdateJuly 6, 20213 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
NPI 1093309569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 5468-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
701 S NICOLET RD, Appleton, WI 54914

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 J Sanner 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 ID2668875527
PECOS Enrollment IDI20210729001868
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54914 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

77.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.47
Promoting Interoperability77
Improvement Activities40
Cost63.8

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.

Physician Assistant
701 S NICOLET RD
APPLETON, WI 54914
Obstetrics & Gynecology
701 S NICOLET RD
APPLETON, WI 54914
Specialist/Technologist, Other (Surgical Technologist)
701 S NICOLET RD
APPLETON, WI 54914
Obstetrics & Gynecology
701 S NICOLET RD
APPLETON, WI 54914

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 Sanner's NPI number?

The NPI number for Timothy Sanner is 1093309569. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Where is Timothy Sanner located?

Timothy Sanner practices at 701 S Nicolet Rd, Appleton, WI 54914. The listed phone number is (414) 288-5688.

What is Timothy Sanner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Timothy Sanner enrolled in Medicare?

Yes. Timothy Sanner 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 Sanner accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Timothy Sanner 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 Sanner was last updated on July 6, 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.