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TIMOTHY DUERLER MD PLLC
NPI 1265319008
Family Medicine in Park City, UT

Active since August 20, 2025CLIA 46D2339964 · Waiver
6546 N LANDMARK DR STE A, PARK CITY, UT 84098(808) 351-6836 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Timothy Duerler Md Pllc NPPES

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

TIMOTHY DUERLER MD PLLC (NPI 1265319008) is a healthcare organization registered as a family medicine in Park City, Utah and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Timothy Duerler, Owner, as its authorized official.

NPPES Registry Identity

NPI1265319008
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIMOTHY DUERLER MD PLLC
Location Address6546 N LANDMARK DR STE APark City, UT 84098-4542
Mailing Address6546 N Landmark Dr Ste APark City, UT 84098-4542
Phone(808) 351-6836
Organization SubpartNo
Authorized OfficialTimothy DuerlerOwner · (808) 351-6836
Enumeration DateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1265319008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
6546 N LANDMARK DR STE A, Park City, UT 84098
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Duerler Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Timothy Duerler MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Duerler, M.D.
Family Practice
NPI 1053433441
5450 S GREEN ST STE A
Murray, UT 84123
(801) 486-4877
✔ PECOS✔ Accepts Medicare19 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2339964

Timothy Duerler, MD, PLLC · Park City, UT
Active · expires Mar 9, 2028
CLIA Number46D2339964
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorTimothy Duerler
Laboratory Phone(385) 509-5184
Laboratory LocationTimothy Duerler, MD, PLLC6546 N Landmark Dr, Suite A, Park City, UT 84098
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Duerler MD PLLC's NPI number?

The NPI number for Timothy Duerler MD PLLC is 1265319008. It was assigned to this organization in the NPPES registry on August 20, 2025.

Where is Timothy Duerler MD PLLC located?

Timothy Duerler MD PLLC is located at 6546 N Landmark Dr Ste A, Park City, UT 84098. The listed phone number is (808) 351-6836.

What is Timothy Duerler MD PLLC's specialty?

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

Is Timothy Duerler MD PLLC enrolled in Medicare?

Yes. Timothy Duerler MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Timothy Duerler MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Timothy Duerler MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Timothy Duerler MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2339964) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Timothy Duerler MD PLLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.