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TIMOTHY E NELSON D.D.S.
NPI 1164454757
Dentist - Oral and Maxillofacial Surgery in Longview, WA

Active since July 06, 2006Opted out of Medicare · through Apr 1, 2027
855 11TH AVE, SUITE B, LONGVIEW, WA 98632(360) 425-7220(360) 425-5045 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy E Nelson D.d.s. NPPES

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

TIMOTHY E NELSON D.D.S. (NPI 1164454757) is an individual oral and maxillofacial surgery provider in Longview, Washington, licensed in Washington (DE00005602) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164454757
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTIMOTHY E NELSONCredential: D.D.S.
Location Address855 11TH AVE, SUITE BLongview, WA 98632-2461
Mailing Address855 11th Ave, Suite BLongview, WA 98632-2461 · (360) 425-7220 · Fax (360) 425-5045
Phone(360) 425-7220
Fax(360) 425-5045
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164454757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WA · DE00005602
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
855 11TH AVE, Longview, WA 98632
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINT02611WA
Medicaid5002357WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Timothy E Nelson D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

RICNEY F. NEWHOUSE D.M.D.
Dentist (Oral and Maxillofacial Surgery)
855 11TH AVE, SUITE B
LONGVIEW, WA 98632
Cowlitz County (360) 425-7220
TIMOTHY E NELSON DDS PS
Dentist (Oral and Maxillofacial Surgery)
855 11TH AVE, SUITE B
LONGVIEW, WA 98632
Cowlitz County (360) 425-7220

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 Nelson's NPI number?

The NPI number for Timothy Nelson is 1164454757. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Timothy Nelson located?

Timothy Nelson practices at 855 11th Ave Suite B, Longview, WA 98632. The listed phone number is (360) 425-7220.

What is Timothy Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Timothy Nelson enrolled in Medicare?

No. Timothy Nelson has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Timothy Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.