DR. TIMOTHY J DARBY NP
NPI 1245906494
Nurse Practitioner - Family in Edina, MN

Active since August 18, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6401 FRANCE AVE S, EDINA, MN 55435(952) 924-5000 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Timothy J Darby Np NPPES

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

DR. TIMOTHY J DARBY NP (NPI 1245906494) is an individual family provider in Edina, Minnesota, licensed in Minnesota (8326) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245906494
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. TIMOTHY J DARBYCredential: NP
Location Address6401 FRANCE AVE SEdina, MN 55435-2199
Mailing Address6029 York Ave SEdina, MN 55410-2829 · (515) 290-1767
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
NPI 1245906494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · 8326
6401 FRANCE AVE S, Edina, MN 55435

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

Dr. Timothy J Darby Np 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 ID8921496878
PECOS Enrollment IDI20211026000476
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services44 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

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.

Emergency Medicine
6401 FRANCE AVE S
EDINA, MN 55435
Physical Therapist
6401 FRANCE AVE S, REHAB SERVICES LL3G, FAIRVIEW SOUTHDALE HOSPITAL
EDINA, MN 55435
Nurse Practitioner (Acute Care)
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hospitalist
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435

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 Darby's NPI number?

The NPI number for Timothy Darby is 1245906494. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Timothy Darby located?

Timothy Darby practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-5000.

What is Timothy Darby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Timothy Darby enrolled in Medicare?

Yes. Timothy Darby 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 Darby accept?

Health plans from Medica and Sanford Health Plan list Timothy Darby 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.

Is Timothy Darby affiliated with any hospitals?

According to CMS data, Timothy Darby is affiliated with M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Darby was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.