DR. TIMOTHY IVAN ZUCK DDS - NPI 1265490437 - Specialist in Appleton, WI

Q: What is Timothy Zuck's NPI number?

The NPI number for Timothy Zuck is 1265490437. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Q: What is Timothy Zuck's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Timothy Zuck enrolled in Medicare?

No. Timothy Zuck has opted out of Medicare through January 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Timothy Zuck was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.

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About Dr. Timothy Ivan Zuck Dds NPPES

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

DR. TIMOTHY IVAN ZUCK DDS (NPI 1265490437) is an individual specialist in Appleton, Wisconsin, licensed in Wisconsin (5216015) and active in the NPI registry since May 2006. He has opted out of Medicare through January 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265490437

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. TIMOTHY IVAN ZUCKCredential: DDS

Location Address5395 MICHAELS DRAppleton, WI 54913-8447

Mailing Address5395 Michaels DrAppleton, WI 54913-8447 · (920) 739-1214 · Fax (920) 739-5855

Phone(920) 739-1214

Fax(920) 739-5855

Sole ProprietorNo

Enumeration DateMay 3, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1265490437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WI · 5216015

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5395 MICHAELS DR, Appleton, WI 54913

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Timothy Ivan Zuck Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2024 through January 3, 2028.

Opt-Out Effective DateJanuary 3, 2024

Opt-Out In Effect ThroughJanuary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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