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DR. TIMOTHY NORMAN TETZLAFF DO
NPI 1326040544
Family Medicine in Sault Sainte Marie, MI

Active since June 01, 2005PECOS Enrolled
560 OSBORN BOULEVARD, SAULT SAINTE MARIE, MI 49783(906) 632-1800(906) 632-2199 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Timothy Norman Tetzlaff Do NPPES

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

DR. TIMOTHY NORMAN TETZLAFF DO (NPI 1326040544) is an individual family medicine provider in Sault Sainte Marie, Michigan, licensed in Michigan (TT007907) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326040544
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY NORMAN TETZLAFFCredential: DO
Location Address560 OSBORN BOULEVARDSault Sainte Marie, MI 49783
Mailing Address560 Osborn BoulevardSault Sainte Marie, MI 49783 · (906) 632-1800 · Fax (906) 632-2199
Phone(906) 632-1800
Fax(906) 632-2199
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateMarch 7, 2013
✔ NPI 1326040544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · TT007907
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.
560 OSBORN BOULEVARD, Sault Sainte Marie, MI 49783
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Other Identifiers 3

Medicaid2694733MI
Medicare UPINE26834MI
Medicare PIN0A76352001MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Norman Tetzlaff Do 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 Reassignment

Medicare enrollment records show Timothy Tetzlaff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mymichigan Medical Center Sault
Same address
Rural Health
509 OSBORN BLVD
Sault Sainte Marie, MI 49783
  • Reassigned Medicare billing, Michigan enrollment
  • 185 clinicians in this Medicare group
NPI 1720145303 (906) 635-4460

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 49783 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers28 claims57 services$5.74 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers23 claims23 services$42.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims25 services$44.72 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers14 claims75 services$22.54 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers15 claims15 services$68.13 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers18 claims18 services$23.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tetzlaff's NPI number?

The NPI number for Timothy Tetzlaff is 1326040544. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Timothy Tetzlaff located?

Timothy Tetzlaff practices at 560 Osborn Boulevard, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-1800.

What is Timothy Tetzlaff's specialty?

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

Is Timothy Tetzlaff enrolled in Medicare?

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

Which organization bills Medicare for Timothy Tetzlaff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Tetzlaff reassigns Medicare benefits to Mymichigan Medical Center Sault (Sault Sainte Marie, MI). 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 Tetzlaff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Tetzlaff was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.