DR. TIMOTHY JAMES MONAHAN M.D.
NPI 1457348203
Orthopaedic Surgery - Sports Medicine in Maryville, MO

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
98.4/100
CMS Quality Rating
2016 S MAIN ST, MARYVILLE, MO 64468(660) 563-2525 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2021, Nov 12, 2021, Aug 6, 2021 and 2 more (5 updates tracked since 2019).

About Dr. Timothy James Monahan M.d. NPPES

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

DR. TIMOTHY JAMES MONAHAN M.D. (NPI 1457348203) is an individual sports medicine provider in Maryville, Missouri, licensed in Kansas (04-37130) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mosaic Life Care At St Joseph, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1457348203
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. TIMOTHY JAMES MONAHANCredential: M.D.
Location Address2016 S MAIN STMaryville, MO 64468-2655
Mailing Address2016 S Main StMaryville, MO 64468-2655 · (816) 271-7196 · Fax (816) 271-6786
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 5, 2005
Last NPPES UpdateNovember 16, 20215 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
NPI 1457348203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses Licensed in KS · 04-37130 Licensed in MO · 2004021600
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2004021600 (MO), 04-37130 (KS)
2016 S MAIN ST, Maryville, MO 64468

Other Identifiers 1

Medicaid200688130BKS

Accepted 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 Monahan 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 ID1355236076
PECOS Enrollment IDI20140806002500
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 8

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services40 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
14 services14 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
14 services13 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
14 services13 patients
Release of tendon connecting biceps muscle and shoulder using an endoscope 29828
This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260006
Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County
Emergency services Birthing friendly

Mosaic Medical Center Albany

Critical Access Hospitals · Albany, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261328
Location705 N College StreetAlbany, MO 64402 · Gentry County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost94.69

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.

Family Medicine
2016 S MAIN ST
MARYVILLE, MO 64468
Family Medicine
2016 S MAIN ST
MARYVILLE, MO 64468
Surgery
2016 S MAIN ST
MARYVILLE, MO 64468
Nurse Practitioner (Family)
2016 S MAIN ST
MARYVILLE, MO 64468
Surgery
2016 S MAIN ST
MARYVILLE, MO 64468
Specialist
2016 S MAIN ST
MARYVILLE, MO 64468
Nurse Practitioner (Gerontology)
2016 S MAIN ST
MARYVILLE, MO 64468
Family Medicine
2016 S MAIN ST
MARYVILLE, MO 64468

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 Monahan's NPI number?

The NPI number for Timothy Monahan is 1457348203. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Timothy Monahan located?

Timothy Monahan practices at 2016 S Main St, Maryville, MO 64468. The listed phone number is (660) 563-2525.

What is Timothy Monahan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Timothy Monahan enrolled in Medicare?

Yes. Timothy Monahan 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 Monahan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Timothy Monahan 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 Monahan affiliated with any hospitals?

According to CMS data, Timothy Monahan is affiliated with Mosaic Life Care At St Joseph and Mosaic Medical Center Albany.

When was this NPI record last updated?

The NPPES record for Timothy Monahan was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.