TIMOTHY J DECAPITE MD
NPI 1194868356
Dermatology in Tuba City, AZ

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
70.58/100
CMS Quality Rating
167 N MAIN ST, TUBA CITY, AZ 86045(928) 283-2501 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy J Decapite Md NPPES

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

TIMOTHY J DECAPITE MD (NPI 1194868356) is an individual dermatology provider in Tuba City, Arizona, licensed in Maryland (D68599) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2005).

NPPES Registry Identity

NPI1194868356
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameTIMOTHY J DECAPITECredential: MD
Location Address167 N MAIN STTuba City, AZ 86045
Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2501
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2005
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 26, 2010
NPI 1194868356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MD · D68599
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
167 N MAIN ST, Tuba City, AZ 86045

Other Identifiers 1

Medicare PIN156892ZALXMD

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 Decapite 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 ID2466505391
PECOS Enrollment IDI20100929001403
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.

Areas of Expertise CMS Part B claims 7

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.

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.
173 services129 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
50 services46 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
22 services19 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.
20 services20 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
16 services16 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86045 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

70.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.68
Promoting Interoperability79
Improvement Activities40
Cost63.1

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.

Nurse's Aide
167 N MAIN ST
TUBA CITY, AZ 86045
Physical Therapist
167 N MAIN ST
TUBA CITY, AZ 86045
Audiologist
167 N MAIN ST
TUBA CITY, AZ 86045
Occupational Therapist
167 N MAIN ST
TUBA CITY, AZ 86045
Counselor (Mental Health)
167 N MAIN ST
TUBA CITY, AZ 86045
Dentist (General Practice)
167 N MAIN ST
TUBA CITY, AZ 86045
Chore Provider
167 N MAIN ST
TUBA CITY, AZ 86045
Internal Medicine (Endocrinology, Diabetes & Metabolism)
167 N MAIN ST
TUBA CITY, AZ 86045

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 Decapite's NPI number?

The NPI number for Timothy Decapite is 1194868356. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Timothy Decapite located?

Timothy Decapite practices at 167 N Main St, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.

What is Timothy Decapite's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Timothy Decapite enrolled in Medicare?

Yes. Timothy Decapite 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 Decapite accept?

Health plans from Blue Cross Blue Shield of Arizona list Timothy Decapite 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 Decapite was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.