TIMOTHY CARPENTER M.D.
NPI 1437419256
Family Medicine in Latrobe, PA

Active since May 26, 2012PECOS EnrolledAccepts Medicare Assignment
1 MELLON WAY, LATROBE, PA 15650(724) 537-1207(724) 537-1635 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 20, 2023, Jun 22, 2016 (2 updates tracked since 2016).

About Timothy Carpenter M.d. NPPES

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

TIMOTHY CARPENTER M.D. (NPI 1437419256) is an individual family medicine provider in Latrobe, Pennsylvania, licensed in Pennsylvania (MT212142) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437419256
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY CARPENTERCredential: M.D.
Location Address1 MELLON WAYLatrobe, PA 15650-1197
Mailing Address1 Mellon WayLatrobe, PA 15650-1197 · (724) 537-1207 · Fax (724) 537-1635
Fax(724) 537-1635
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 26, 2012
Last NPPES UpdateJanuary 20, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2025
NPI 1437419256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MT212142
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.

Also ListedHospitalistTaxonomy 208M00000X · License 81585 (WI)
1 MELLON WAY, Latrobe, PA 15650

Secondary Practice Locations 2

Location 1515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-2000
Location 23400 E Racine StJanesville, WI 53546-2344 · Phone (608) 373-8000 · Fax (608) 373-8514

Other Identifiers 1

Medicaid1437419256WI

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 Carpenter 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 ID3476847120
PECOS Enrollment IDI20230824001891
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
389 services179 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services87 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
90 services89 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
84 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
44 services33 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15650 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 3

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$915.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier28 claims28 services$60.54 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$28.12 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 20

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

Psychiatry & Neurology (Psychiatry)
1 MELLON WAY
LATROBE, PA 15650
Psychiatry & Neurology (Psychiatry)
1 MELLON WAY
LATROBE, PA 15650
Clinic/Center (Mental Health (Including Community Mental Health Center))
1 MELLON WAY
LATROBE, PA 15650
Psychiatry & Neurology (Psychiatry)
1 MELLON WAY
LATROBE, PA 15650
Counselor (Professional)
1 MELLON WAY
LATROBE, PA 15650
Family Medicine
1 MELLON WAY
LATROBE, PA 15650
Family Medicine
1 MELLON WAY, LATROBE FAMILY MEDICINE RESIDENCY PROGRAM
LATROBE, PA 15650
Pharmacist
1 MELLON WAY
LATROBE, PA 15650

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437419256, enumerated as an "individual" on May 26, 2012.

The provider is located at 1 MELLON WAY LATROBE, PA 15650 and the phone number is (724) 537-1207.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Timothy Carpenter is affiliated with: THE MONROE CLINIC and SSM HEALTH ST MARY'S HOSPITAL - MADISON.