MR. TIMOTHY JAMES DENNEN M.D.
NPI 1225033772
Family Medicine in Bloomsburg, PA

Active since June 20, 2005PECOS Enrolled
240 MALL BLVD, BLOOMSBURG, PA 17815(570) 416-5435(570) 416-5436 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 19, 2020, Sep 30, 2015 (2 updates tracked since 2015).

About Mr. Timothy James Dennen M.d. NPPES

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

MR. TIMOTHY JAMES DENNEN M.D. (NPI 1225033772) is an individual family medicine provider in Bloomsburg, Pennsylvania, licensed in Pennsylvania (MD035289E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225033772
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. TIMOTHY JAMES DENNENCredential: M.D.
Location Address240 MALL BLVDBloomsburg, PA 17815-8389
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 416-5436
Sole ProprietorNo
Enumeration DateJune 20, 2005
Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
NPI 1225033772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD035289E
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.

240 MALL BLVD, Bloomsburg, PA 17815

Other Identifiers 2

Medicaid1625052PA
Medicaid16250520007PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Timothy James Dennen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17815 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Dietitian, Registered
240 MALL BLVD
BLOOMSBURG, PA 17815
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Physician Assistant
240 MALL BLVD
BLOOMSBURG, PA 17815
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Pharmacist
240 MALL BLVD
BLOOMSBURG, PA 17815
Pharmacist
240 MALL BLVD
BLOOMSBURG, PA 17815
Dietitian, Registered
240 MALL BLVD
BLOOMSBURG, PA 17815

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225033772, enumerated as an "individual" on June 20, 2005.

The provider is located at 240 MALL BLVD BLOOMSBURG, PA 17815 and the phone number is (570) 416-5435.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.