DR. TIMOTHY JOHN KOBOLDT M.D.
NPI 1255642484
Emergency Medicine in Columbia, MO
About Dr. Timothy John Koboldt M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY JOHN KOBOLDT M.D. (NPI 1255642484) is an individual emergency medicine provider in Columbia, Missouri, licensed in Missouri (2013032870) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and is a graduate of University Of Missouri, Columbia School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Timothy John Koboldt M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Koboldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, MO 65212
- Reassigned Medicare billing, Missouri enrollment
- 1,395 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Missouri Health Care
Acute Care Hospitals · Columbia, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
COLUMBIA, MO 65212
COLUMBIA, MO 65212
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 Koboldt's NPI number?
The NPI number for Timothy Koboldt is 1255642484. It was assigned to this individual provider in the NPPES registry on June 22, 2010.
Where is Timothy Koboldt located?
Timothy Koboldt practices at 1 Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 884-4400.
What is Timothy Koboldt's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Timothy Koboldt enrolled in Medicare?
Yes. Timothy Koboldt 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.
Which organization bills Medicare for Timothy Koboldt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Koboldt reassigns Medicare benefits to The Curators Of The University Of Missouri (Columbia, MO). The 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 Koboldt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Koboldt accept?
Health plans from Anthem Blue Cross and Blue Shield list Timothy Koboldt 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 Koboldt affiliated with any hospitals?
According to CMS data, Timothy Koboldt is affiliated with University Of Missouri Health Care.
When was this NPI record last updated?
The NPPES record for Timothy Koboldt was last updated on September 2, 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.
# Dr. Timothy John Koboldt, M.D. · NPI 1255642484
Emergency Medicine physician in Columbia, Missouri. Individual provider, active in the CMS NPPES registry since June 22, 2010.
## Identity
- **NPI:** 1255642484 (Entity type: Individual)
- **Enumerated:** June 22, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2013032870 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HOSPITAL DR, Columbia, MO 65212-0001
- **Phone:** (573) 884-4400 · **Fax:** (573) 884-5994
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Curators Of The University Of Missouri (NPI 1235126921, Columbia, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** September 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255642484) · Data from the CMS NPPES public registry.