TIMOTHY R THALLER MD
NPI 1407849706
Urology in Statesboro, GA

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
1497 FAIR RD STE 102, STATESBORO, GA 30458(912) 764-9001(912) 764-3166 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy R Thaller Md NPPES

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

TIMOTHY R THALLER MD (NPI 1407849706) is an individual urology provider in Statesboro, Georgia, licensed in Georgia (046818) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with East Georgia Regional Medical Center, and maintains a secondary practice location in Statesboro.

NPPES Registry Identity

NPI1407849706
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameTIMOTHY R THALLERCredential: MD
Location Address1497 FAIR RD STE 102Statesboro, GA 30458-0823
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877
Fax(912) 764-3166
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1994
Enumeration DateAugust 23, 2005
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
NPI 1407849706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in GA · 046818
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1497 FAIR RD STE 102, Statesboro, GA 30458

Secondary Practice Location 1

Location 1614 E Grady StStatesboro, GA 30458-2067 · Phone (912) 764-9001 · Fax (912) 764-3166

Other Identifiers 3

Medicaid000829507BGA
Other340016471GA · Rr Medicare
Other782637GA · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy R Thaller Md 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 ID648360800
PECOS Enrollment IDI20071212000470
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Urinalysis using microscope 81015
Urinalysis with a microscope is a test that helps detect issues in your body. A small sample of your urine is examined under a microscope. This allows the detection of substances not visible to the naked eye, aiding in diagnosing various health conditions.
745 services470 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
607 services366 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
193 services157 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
67 services55 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
60 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110075
Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County
Emergency services

Emanuel Medical Center

Acute Care Hospitals · Swainsboro, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110109
Location117 Kite RoadSwainsboro, GA 30401 · Emanuel County
Emergency services

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

Evans Memorial Hospital

Acute Care Hospitals · Claxton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110142
Location200 N River StreetClaxton, GA 30417 · Evans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Urology
1497 FAIR RD STE 102
STATESBORO, GA 30458
Nurse Practitioner (Adult Health)
1497 FAIR RD STE 102
STATESBORO, GA 30458

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 Thaller's NPI number?

The NPI number for Timothy Thaller is 1407849706. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Timothy Thaller located?

Timothy Thaller practices at 1497 Fair Rd Ste 102, Statesboro, GA 30458. The listed phone number is (912) 764-9001.

What is Timothy Thaller's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Timothy Thaller enrolled in Medicare?

Yes. Timothy Thaller 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.

Is Timothy Thaller affiliated with any hospitals?

According to CMS data, Timothy Thaller is affiliated with East Georgia Regional Medical Center, Emanuel Medical Center, Memorial Health Meadows Hospital and Evans Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Thaller was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.