DR. TIMOTHY D WINGO MD
NPI 1457363178
Family Medicine in West Columbia, SC
About Dr. Timothy D Wingo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY D WINGO MD (NPI 1457363178) is an individual family medicine provider in West Columbia, South Carolina, licensed in South Carolina (24057) and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 D Wingo Md 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 January 1, 2014 through January 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wingo's NPI number?
The NPI number for Timothy Wingo is 1457363178. It was assigned to this individual provider in the NPPES registry on August 12, 2006.
Where is Timothy Wingo located?
Timothy Wingo practices at 3240 Sunset Blvd, West Columbia, SC 29169. The listed phone number is (803) 796-4251.
What is Timothy Wingo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Timothy Wingo enrolled in Medicare?
No. Timothy Wingo has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Timothy Wingo was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Timothy D Wingo, MD · NPI 1457363178
Family Medicine physician in West Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1457363178 (Entity type: Individual)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 24057 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3240 SUNSET BLVD, West Columbia, SC 29169-3428
- **Phone:** (803) 796-4251 · **Fax:** (803) 796-4449
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 29, 2012
- **Other identifiers:** Medicaid 240572 (SC); Medicare PIN AA1214
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Source: [NPI Profile](https://npiprofile.com/npi/1457363178) · Data from the CMS NPPES public registry.