DR. TIMOTHY JOHN ISAACSON D.D.S.
NPI 1396817482
Dentist - General Practice in Bloomington, MN

Active since November 14, 2006Opted out of Medicare · through Dec 8, 2026
4200 W OLD SHAKOPEE RD, SUITE 223, BLOOMINGTON, MN 55437(952) 881-8404(952) 881-9520 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Timothy John Isaacson D.d.s. NPPES

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

DR. TIMOTHY JOHN ISAACSON D.D.S. (NPI 1396817482) is an individual general practice provider in Bloomington, Minnesota, licensed in Minnesota (11656) and active in the NPI registry since November 2006. He has opted out of Medicare through December 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1396817482
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TIMOTHY JOHN ISAACSONCredential: D.D.S.
Location Address4200 W OLD SHAKOPEE RD, SUITE 223Bloomington, MN 55437-2976
Mailing Address5270 W 84th St Ste 360Bloomington, MN 55437-1377 · (161) 224-9688 · Fax (952) 881-9520
Fax(952) 881-9520
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 21, 2021
NPPES CertifiedJuly 21, 2021
NPI 1396817482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · 11656
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4200 W OLD SHAKOPEE RD, Bloomington, MN 55437

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Timothy John Isaacson D.d.s. 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 December 8, 2010 through December 8, 2026.

Opt-Out Effective DateDecember 8, 2010
Opt-Out In Effect ThroughDecember 8, 2026Opt-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.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55437 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist
4200 W OLD SHAKOPEE RD, SUITE 221
BLOOMINGTON, MN 55437
Dentist (General Practice)
4200 W OLD SHAKOPEE RD, SUITE 223
BLOOMINGTON, MN 55437
Dentist (General Practice)
4200 W OLD SHAKOPEE RD, SUITE 223
BLOOMINGTON, MN 55437
Dentist (General Practice)
4200 W OLD SHAKOPEE RD, SUITE 100
BLOOMINGTON, MN 55437

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396817482, enumerated as an "individual" on November 14, 2006.

The provider is located at 4200 W OLD SHAKOPEE RD SUITE 223 BLOOMINGTON, MN 55437 and the phone number is (952) 881-8404.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Florida Combined Life and Humana. Please consult your insurance carrier or call the provider to verify.