DR. TIMOTHY DROTAR
NPI 1508153123
Family Medicine in Toledo, OH

Q: What is Timothy Drotar's NPI number?

The NPI number for Timothy Drotar is 1508153123. It was assigned to this individual provider in the NPPES registry on July 3, 2011.

Q: What is Timothy Drotar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Drotar was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 03, 2011PECOS EnrolledAccepts Medicare Assignment

4411 N HOLLAND SYLVANIA RD STE 201, TOLEDO, OH 43623(419) 843-3627 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2022, Jun 17, 2019 (2 updates tracked since 2019).

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About Dr. Timothy Drotar NPPES

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

DR. TIMOTHY DROTAR (NPI 1508153123) is an individual family medicine provider in Toledo, Ohio, licensed in Ohio (35.143340) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of University Of Toledo College Of Medicine (2019).

NPPES Registry Identity

NPI1508153123

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TIMOTHY DROTAR

Location Address4411 N HOLLAND SYLVANIA RD STE 201Toledo, OH 43623-3530

Mailing Address4235 Secor RdToledo, OH 43623-4231 · (419) 479-5327

Phone(419) 843-3627

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2019

Enumeration DateJuly 3, 2011

Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration

NPPES CertifiedDecember 8, 2022

✔ NPI 1508153123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35.143340

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.

4411 N HOLLAND SYLVANIA RD STE 201, Toledo, OH 43623

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Other Identifiers 2

OtherH915320OH · Medicare

Medicaid0495155OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Drotar 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 ID6608104112

PECOS Enrollment IDI20220718002587

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 4

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.

209 services73 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

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.

24 services21 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.

22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 3

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

DR. MARY MARGARET BALDWIN M.D.

Family Medicine

4411 N HOLLAND SYLVANIA RD STE 201
TOLEDO, OH 43623

Lucas County (419) 843-3627

LISA BOES CNP

Nurse Practitioner (Family)

4411 N HOLLAND SYLVANIA RD STE 201
TOLEDO, OH 43623

Lucas County (419) 843-3627

DR. BINA LAUNGANI MD

Family Medicine

4411 N HOLLAND SYLVANIA RD STE 201
TOLEDO, OH 43623

Lucas County (419) 843-3627

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 Drotar's NPI number?

The NPI number for Timothy Drotar is 1508153123. It was assigned to this individual provider in the NPPES registry on July 3, 2011.

Where is Timothy Drotar located?

Timothy Drotar practices at 4411 N Holland Sylvania Rd Ste 201, Toledo, OH 43623. The listed phone number is (419) 843-3627.

What is Timothy Drotar's specialty?

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

Is Timothy Drotar enrolled in Medicare?

Yes. Timothy Drotar 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 Drotar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Timothy Drotar 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 Drotar affiliated with any hospitals?

According to CMS data, Timothy Drotar is affiliated with Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Drotar was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.