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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: November 01, 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
Phone(570) 416-5435
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
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Other Identifiers 2

Medicaid1625052PA
Medicaid16250520007PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Dennen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
Same address
Family Medicine
240 MALL BLVD
Bloomsburg, PA 17815
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1114977626 (570) 416-8250
Guthrie Medical Group, P.C.
35 mi
Internal Medicine
110 MAIN STREET
Dushore, PA 18614
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 830 clinicians in this Medicare group
NPI 1487603965 (570) 928-8146

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

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.

DR. SIOBHAN BROSS STOLTZFUS CRNP, AANP
Nurse Practitioner
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 416-8200
MEGAN KINGSBURY
Pharmacist
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (866) 248-1980
GEISINGER CLINIC
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 416-8250
DR. DENNIS M. SHEEHE M.D.
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
DR. JOHN ALLEN DOUGLAS III M.D.
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
MALLORY DAMERON MD
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
CYNTHIA CICCOTELLI MD
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303
DR. JOHN PACHECO MD
Family Medicine
240 MALL BLVD
BLOOMSBURG, PA 17815
Columbia County (570) 784-8303

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 Dennen's NPI number?

The NPI number for Timothy Dennen is 1225033772. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Timothy Dennen located?

Timothy Dennen practices at 240 Mall Blvd, Bloomsburg, PA 17815. The listed phone number is (570) 416-5435.

What is Timothy Dennen's specialty?

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

Is Timothy Dennen enrolled in Medicare?

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

Which organizations bill Medicare for Timothy Dennen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Dennen reassigns Medicare benefits to 2 organizations: Geisinger Clinic (Bloomsburg, PA) and Guthrie Medical Group, P.C. (Dushore, PA). 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 Dennen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Dennen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Timothy Dennen 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 Dennen was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.