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DR. TIMOTHY MARK KOSTERMAN D.C.
NPI 1396753646
Chiropractor in Clinton, NC

Active since August 03, 2006Accepts Medicare Assignment
401 COOPER DR, CLINTON, NC 28328(910) 592-2250(910) 592-6143 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Timothy Mark Kosterman D.c. NPPES

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

DR. TIMOTHY MARK KOSTERMAN D.C. (NPI 1396753646) is an individual chiropractor in Clinton, North Carolina, licensed in North Carolina (200001407900) and active in the NPI registry since August 2006. He is a graduate of Logan College Of Chiropractic (1989).

NPPES Registry Identity

NPI1396753646
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TIMOTHY MARK KOSTERMANCredential: D.C.
Location Address401 COOPER DRClinton, NC 28328-2817
Mailing Address401 Cooper DrClinton, NC 28328-2817 · (910) 592-2250 · Fax (910) 592-6143
Phone(910) 592-2250
Fax(910) 592-6143
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 1989
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 21, 2010
✔ NPI 1396753646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 200001407900
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
401 COOPER DR, Clinton, NC 28328
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Other Identifiers 3

Medicare UPINU02627NC
Medicaid890856CNC
Medicare ID-Type Unspecified2446529NC

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 Mark Kosterman D.c. 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 ID2769561414
PECOS Enrollment IDI20100909000765

Medicare Billing Reassignment

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

Kosterman Chiropractic Center, P.A.
Same address
Chiropractor
401 COOPER DRIVE
Clinton, NC 28328
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Kosterman Chiropractic Center PA
NPI 1528127099 (910) 592-2250

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

Other Providers at the Same Location NPPES

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

DR. WENDY RENEE PAVKOV-POPOW D.C.
Chiropractor
401 COOPER DR
CLINTON, NC 28328
Sampson County (910) 592-2250

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 Kosterman's NPI number?

The NPI number for Timothy Kosterman is 1396753646. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Timothy Kosterman located?

Timothy Kosterman practices at 401 Cooper Dr, Clinton, NC 28328. The listed phone number is (910) 592-2250.

What is Timothy Kosterman's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Timothy Kosterman enrolled in Medicare?

Yes. Timothy Kosterman 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 Kosterman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Kosterman reassigns Medicare benefits to Kosterman Chiropractic Center, P.A. (Clinton, NC). 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 Kosterman'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 Kosterman was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.