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DR. TIMOTHY JAMES WIDHALM M.D.
NPI 1437167038
Family Medicine in Aurora, NE

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
609 O ST, AURORA, NE 68818(402) 694-3191(402) 694-2146 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy James Widhalm M.d. NPPES

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

DR. TIMOTHY JAMES WIDHALM M.D. (NPI 1437167038) is an individual family medicine provider in Aurora, Nebraska, licensed in Nebraska (18331) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Health Bergan Mercy, and is a graduate of University Of Nebraska College Of Medicine (1989).

NPPES Registry Identity

NPI1437167038
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY JAMES WIDHALMCredential: M.D.
Location Address609 O STAurora, NE 68818-1100
Mailing Address609 O StAurora, NE 68818-1100 · (402) 694-3191 · Fax (402) 694-2146
Phone(402) 694-3191
Fax(402) 694-2146
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1989
Enumeration DateAugust 3, 2006
Last NPPES UpdateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1437167038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 18331
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.
609 O ST, Aurora, NE 68818
Open in Google Maps ↗

Other Identifiers 1

Other0117NE · Bcbs Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.Insurance ›

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

Dr. Timothy James Widhalm M.d. 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 ID4183748098
PECOS Enrollment IDI20100830000725
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 5

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.

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.
135 services100 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.
109 services92 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.
79 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Chi Health Immanuel

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280081
Location6901 North 72nd StOmaha, NE 68122 · Douglas County
Emergency services Birthing friendly

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68818 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 15

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
3 suppliers45 claims55 services$4.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims15 services$0.98 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier12 claims12 services$38.12 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$98.94 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims34 services$43.25 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers11 claims52 services$20.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

WHITNEY POLEN APRN, FNP-C
Nurse Practitioner (Family)
609 O ST
AURORA, NE 68818
Hamilton County (402) 694-3191
KRISTEN J ANDERSON MPAC
Physician Assistant
609 O ST
AURORA, NE 68818
Hamilton County (402) 694-3191
MEMORIAL COMMUNITY HEALTH INC
Clinic/Center (Rural Health)
609 O ST
AURORA, NE 68818
Hamilton County (402) 694-3191
DR. JOHN CLARK WILCOX M.D.
Family Medicine
609 O ST
AURORA, NE 68818
Hamilton County (402) 694-3191
DR. MARK DAVID JOBMAN M.D.
Family Medicine
609 O ST
AURORA, NE 68818
Hamilton County (402) 694-3191
KACHINE MARIE BANAHAN APRN
Nurse Practitioner
609 O ST
AURORA, NE 68818
Hamilton County (402) 694-3191
DR. JEFFREY JOHN MUILENBURG M.D.
Family Medicine
609 O ST
AURORA, NE 68818
Hamilton County (402) 694-3191
ALEXIS R. ERBST M.D.
Family Medicine
609 O ST
AURORA, NE 68818
Hamilton County (402) 694-3191

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 Widhalm's NPI number?

The NPI number for Timothy Widhalm is 1437167038. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Timothy Widhalm located?

Timothy Widhalm practices at 609 O St, Aurora, NE 68818. The listed phone number is (402) 694-3191.

What is Timothy Widhalm's specialty?

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

Is Timothy Widhalm enrolled in Medicare?

Yes. Timothy Widhalm 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.

What insurance does Timothy Widhalm accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Timothy Widhalm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Widhalm affiliated with any hospitals?

According to CMS data, Timothy Widhalm is affiliated with Chi Health Bergan Mercy, Chi Health Immanuel and Chi Health Lakeside.

When was this NPI record last updated?

The NPPES record for Timothy Widhalm was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.