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DR. TIMOTHY GERARD BALDER MD
NPI 1104801638
Family Medicine in Minneapolis, MN

Active since December 07, 2005PECOS Enrolled
4730 CHICAGO AVE, MINNEAPOLIS, MN 55407(952) 967-7676(612) 341-1432 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 9, 2022, Mar 9, 2021, Aug 20, 2020 (3 updates tracked since 2020).

About Dr. Timothy Gerard Balder Md NPPES

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

DR. TIMOTHY GERARD BALDER MD (NPI 1104801638) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (30056) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104801638
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY GERARD BALDERCredential: MD
Location Address4730 CHICAGO AVEMinneapolis, MN 55407-3570
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516
Phone(952) 967-7676
Fax(612) 341-1432
Sole ProprietorNo
Enumeration DateDecember 7, 2005
Last NPPES UpdateJune 9, 20223 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1104801638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 30056
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4730 CHICAGO AVE, Minneapolis, MN 55407
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Other Identifiers 1

Medicaid31430000WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Gerard Balder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Balder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.
Same address
Multi-Specialty
4730 CHICAGO AVE
Minneapolis, MN 55407
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
NPI 1710924683 (952) 967-7485
Park Nicollet Clinic
4.0 mi
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1912315144 (952) 977-0700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers25 claims56 services$5.45 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$40.89 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 20

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

LEE W ROCK MD
Family Medicine (Geriatric Medicine)
4730 CHICAGO AVE
MINNEAPOLIS, MN 55407
Hennepin County (952) 883-6805
BETHEL M AVERBECK MD
Internal Medicine
4730 CHICAGO AVE
MINNEAPOLIS, MN 55407
Hennepin County (952) 883-6805
LEANN M WEST M.D.
Pediatrics
4730 CHICAGO AVE
MINNEAPOLIS, MN 55407
Hennepin County (612) 313-0000
MRS. TAMARA ANN ERSKINE
Nurse Practitioner
4730 CHICAGO AVE
MINNEAPOLIS, MN 55407
Hennepin County (952) 883-6805
CARLY ELIZABETH KILGORE NP
Nurse Practitioner
4730 CHICAGO AVE
MINNEAPOLIS, MN 55407
Hennepin County (952) 883-6805
SARAH ELIZABETH OSENDORF NP-C
Nurse Practitioner
4730 CHICAGO AVE, MS 26602G
MINNEAPOLIS, MN 55407
Hennepin County (952) 883-6805
DR. GEOFFREY GEORGES GERARDIN
Family Medicine
4730 CHICAGO AVE
MINNEAPOLIS, MN 55407
Hennepin County (612) 313-0000
ANGELA NEVIN APNP
Nurse Practitioner
4730 CHICAGO AVE
MINNEAPOLIS, MN 55407
Hennepin County (952) 883-6805

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 Balder's NPI number?

The NPI number for Timothy Balder is 1104801638. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Timothy Balder located?

Timothy Balder practices at 4730 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (952) 967-7676.

What is Timothy Balder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Balder enrolled in Medicare?

Yes. Timothy Balder is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Timothy Balder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Balder reassigns Medicare benefits to 2 organizations: Group Health, Inc. (Minneapolis, MN) and Park Nicollet Clinic (Minneapolis, MN). 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 Balder'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 Balder was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.