MR. TIMOTHY EDWIN TETZLAFF MD
NPI 1154719656
Family Medicine in Burns, OR

Q: What is Timothy Tetzlaff's NPI number?

The NPI number for Timothy Tetzlaff is 1154719656. It was assigned to this individual provider in the NPPES registry on January 6, 2015.

Q: What is Timothy Tetzlaff's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Tetzlaff was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 06, 2015PECOS EnrolledAccepts Medicare Assignment

92.92/100

CMS Quality Rating

559 W WASHINGTON ST, BURNS, OR 97720(541) 573-2074 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2022, Jun 18, 2018 (2 updates tracked since 2018).

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About Mr. Timothy Edwin Tetzlaff Md NPPES

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

MR. TIMOTHY EDWIN TETZLAFF MD (NPI 1154719656) is an individual family medicine provider in Burns, Oregon, licensed in Oregon (MD204574) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Burns.

NPPES Registry Identity

NPI1154719656

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. TIMOTHY EDWIN TETZLAFFCredential: MD

Location Address559 W WASHINGTON STBurns, OR 97720-1441

Mailing Address559 W Washington StBurns, OR 97720-1441 · (541) 573-2074

Phone(541) 573-2074

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 6, 2015

Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2023

✔ NPI 1154719656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD204574

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.

559 W WASHINGTON ST, Burns, OR 97720

Open in Google Maps ↗

Secondary Practice Location 1

Location 1557 W Washington StBurns, OR 97720-1441 · Phone (541) 573-7281

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Mr. Timothy Edwin Tetzlaff 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 ID2769817824

PECOS Enrollment IDI20210714003249

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.

Hospital Affiliations CMS Care Compare 3

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380047

Location2500 NE Neff RoadBend, OR 97701 · Deschutes County

Emergency services Birthing friendly

Blue Mountain Hospital

Critical Access Hospitals · John Day, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381305

Location170 Ford RoadJohn Day, OR 97845 · Grant County

Emergency services

Harney District Hospital

Critical Access Hospitals · Burns, OR

OwnershipGovernment - Hospital District or Authority

CMS Certification Number381307

Location557 W Washington StreetBurns, OR 97720 · Harney County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97720 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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.

92.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.23

Promoting Interoperability

100

Improvement Activities

Cost

77.7

Referred Medical Equipment & Supplies CMS DME claims 5

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

3 suppliers15 claims31 services$6.09 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier12 claims60 services$2.89 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers22 claims22 services$19.05 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers49 claims49 services$109.47 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

1 supplier12 claims900 services$6.81 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 18

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

JOLENE CAWLFIELD FNP

Nurse Practitioner (Family)