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MR. TIMOTHY J MICEK M.D.
NPI 1124106133
Orthopaedic Surgery in Southaven, MS

Active since November 01, 2006PECOS Enrolled
97.4/100
CMS Quality Rating
3964 GOODMAN RD E, SUITE 128, SOUTHAVEN, MS 38672(662) 420-7350(662) 874-5214 Get Directions Write a Review

NPPES record last updated: July 10, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Timothy J Micek M.d. NPPES

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

MR. TIMOTHY J MICEK M.D. (NPI 1124106133) is an individual orthopaedic surgery provider in Southaven, Mississippi, licensed in Mississippi (23185) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124106133
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. TIMOTHY J MICEKCredential: M.D.
Location Address3964 GOODMAN RD E, SUITE 128Southaven, MS 38672-8761
Mailing Address3964 Goodman Rd, Ste 128Southaven, MS 38672-6494 · (662) 420-7350 · Fax (662) 874-5214
Phone(662) 420-7350
Fax(662) 874-5214
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 10, 2017
✔ NPI 1124106133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MS · 23185✔ Licensed in GA · 64863✔ Licensed in TN · MD0000045338
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.
3964 GOODMAN RD E, Southaven, MS 38672
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Other Identifiers 2

Medicare UPINH40316
Medicaid01988867MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy J Micek M.d. 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 Micek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare, Inc.
365 mi
Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, West Virginia enrollment
  • 108 clinicians in this Medicare group
NPI 1134204688 (606) 242-1100
Mercy Specialty Clinic
473 mi
Family Medicine
2400 LILLIAN WAY
Clinton, IA 52732
  • Reassigned Medicare billing, Iowa enrollment
  • 183 clinicians in this Medicare group
NPI 1528622131 (563) 243-1200

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

Areas of Expertise CMS Part B claims 9

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
106 services75 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
103 services76 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 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.
54 services54 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.
39 services32 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38672 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.
87%4,089 patients3/55-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.
98%2,136 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
77%1,444 patients4/55-star benchmark: 88%
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.
98%1,088 patients4/55-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.
26%2,566 patients2/55-star benchmark: 97%
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…
37%2,009 patients2/55-star benchmark: 97%
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: 89% · 739 patients
Patients tobacco: 7% · 60 patients
74%739 patients4/55-star benchmark: 98%
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…
57%2,566 patients3/55-star benchmark: 100%
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…
2%2,566 patients1/55-star benchmark: 89%
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+: 0% · 353 patients
14%353 patients2/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%2,566 patients
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.

Other Providers at the Same Location NPPES 9

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

LACEY MOODY
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672
Desoto County (662) 890-6953
CODY SEMLER DPT
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672
Desoto County (662) 890-6953
UNITY HOSPICE NE, LLC
Hospice Care, Community Based
3964 GOODMAN RD E, STE 112
SOUTHAVEN, MS 38672
Desoto County (662) 893-5662
DR. JASON KENNETH COLEMAN DMD
Dentist (Pediatric Dentistry)
3964 GOODMAN RD E, SUITE 128
SOUTHAVEN, MS 38672
Desoto County (662) 893-7337
ADAM BROOKS RISINGER P.T.
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672
Desoto County (662) 890-6953
MR. KEVIN FRANCIS YEKAITIS FNP-BC
Nurse Practitioner (Family)
3964 GOODMAN RD E
SOUTHAVEN, MS 38672
Desoto County (662) 420-7350
ORTHO SPORT & SPINE PHYSICIANS SOUTHHAVEN
Physical Medicine & Rehabilitation
3964 GOODMAN RD E
SOUTHAVEN, MS 38672
Desoto County (800) 678-4611
ANNA FEE
Physical Therapist
3964 GOODMAN RD E, SUITE 111
SOUTHAVEN, MS 38672
Desoto County (662) 890-6953

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 Micek's NPI number?

The NPI number for Timothy Micek is 1124106133. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Timothy Micek located?

Timothy Micek practices at 3964 Goodman Rd E Suite 128, Southaven, MS 38672. The listed phone number is (662) 420-7350.

What is Timothy Micek's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Timothy Micek enrolled in Medicare?

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

Which organizations bill Medicare for Timothy Micek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Micek reassigns Medicare benefits to 2 organizations: Appalachian Regional Healthcare, Inc. (Middlesboro, KY) and Mercy Specialty Clinic (Clinton, IA). 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 Micek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Micek accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Timothy Micek 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 Micek was last updated on July 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.