DR. TIMOTHY F GOGGINS M.D.
NPI 1497890701
Internal Medicine - Hematology & Oncology in Germantown, WI

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
W180N11070 RIVER LN, GERMANTOWN, WI 53022(262) 535-8400 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2021, Jun 3, 2019, Oct 25, 2016 and 3 more (6 updates tracked since 2015).

About Dr. Timothy F Goggins M.d. NPPES

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

DR. TIMOTHY F GOGGINS M.D. (NPI 1497890701) is an individual hematology & oncology provider in Germantown, Wisconsin, licensed in Wisconsin (46571-020) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and is a graduate of Albany Medical College Of Union University (1997).

NPPES Registry Identity

NPI1497890701
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. TIMOTHY F GOGGINSCredential: M.D.
Location AddressW180N11070 RIVER LNGermantown, WI 53022-3109
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1997
Enumeration DateFebruary 21, 2007
Last NPPES UpdateSeptember 19, 20236 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
NPI 1497890701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in WI · 46571-020
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
W180N11070 RIVER LN, Germantown, WI 53022

Other Identifiers 2

Other391682233013WI · Bcbs
Medicaid34540000WI

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 F Goggins 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 ID9931172509
PECOS Enrollment IDI20040813000143
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 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
992 services221 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.
401 services249 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
47 services47 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
24 services13 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
14 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53022 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims1,232 services$0.71 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$19.01 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 18

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

Clinic/Center (Ambulatory Surgical)
W180N11070 RIVER LN
GERMANTOWN, WI 53022
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
W180N11070 RIVER LN
GERMANTOWN, WI 53022
Internal Medicine (Cardiovascular Disease)
W180N11070 RIVER LN
GERMANTOWN, WI 53022
Obstetrics & Gynecology
W180N11070 RIVER LN
GERMANTOWN, WI 53022
Internal Medicine (Hematology & Oncology)
W180N11070 RIVER LN
GERMANTOWN, WI 53022
Pain Medicine (Interventional Pain Medicine)
W180N11070 RIVER LN
GERMANTOWN, WI 53022
Orthopaedic Surgery
W180N11070 RIVER LN
GERMANTOWN, WI 53022
Internal Medicine (Cardiovascular Disease)
W180N11070 RIVER LN
GERMANTOWN, WI 53022

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 Goggins's NPI number?

The NPI number for Timothy Goggins is 1497890701. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Timothy Goggins located?

Timothy Goggins practices at W180n11070 River Ln, Germantown, WI 53022. The listed phone number is (262) 535-8400.

What is Timothy Goggins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Timothy Goggins enrolled in Medicare?

Yes. Timothy Goggins 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 Goggins accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Timothy Goggins 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 Goggins affiliated with any hospitals?

According to CMS data, Timothy Goggins is affiliated with Aurora Medical Ctr Washington County, Aurora St Lukes Medical Center, Aurora Medical Center - Summit and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Goggins was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.