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TIMOTHY J GAVIN M.D.
NPI 1528004587
Surgery - Vascular Surgery in Edina, MN

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
6405 FRANCE AVE S, SUITE W440, EDINA, MN 55435(952) 927-7004(952) 927-5146 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Sep 19, 2018 (2 updates tracked since 2018).

About Timothy J Gavin M.d. NPPES

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

TIMOTHY J GAVIN M.D. (NPI 1528004587) is an individual vascular surgery provider in Edina, Minnesota, licensed in Minnesota (47505) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1528004587
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameTIMOTHY J GAVINCredential: M.D.
Location Address6405 FRANCE AVE S, SUITE W440Edina, MN 55435-2163
Mailing Address3400 W 66th St, Suite 350Edina, MN 55435-2111 · (952) 832-0805 · Fax (952) 832-5597
Phone(952) 927-7004
Fax(952) 927-5146
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1989
Enumeration DateJune 20, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1528004587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MN · 47505
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 47505 (MN)
6405 FRANCE AVE S, Edina, MN 55435
Open in Google Maps ↗

Secondary Practice Location 1

Location 11700 University Ave W Fl 6Saint Paul, MN 55104-3727 · Phone (651) 232-2273 · Fax (651) 232-4953

Other Identifiers 9

OtherP00217949MN · Medicare Railroad
Other47505MN · Mn License
OtherHP50655MN · Healthpartners
Other2341371MN · America's Ppo
Medicaid766110000MN
Other961901043279MN · Preferredone
Other993N5GAMN · Bluecross/blueshield Mn
Other3700049MN · Medica
Other181292MN · Ucare Minnesota

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy J Gavin 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 ID5092762187
PECOS Enrollment IDI20050331000831
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Timothy Gavin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
Same address
Surgery
6405 FRANCE AVE S, SUITE W440
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1235395864 (952) 927-7004
Fairview Health Services
0.1 mi
General Acute Care Hospital
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1699752915 (952) 924-5000
Fairview Clinics
0.1 mi
Obstetrics & Gynecology
6525 FRANCE AVE S, SUITE 100
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1013383355 (952) 285-6140
Fairview Specialty Services
7.1 mi
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843
Healtheast Medical Research Institute
9.0 mi
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1508191552 (651) 232-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
56 services50 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.
29 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

ALYSSA HAYNES
Registered Nurse
6405 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 920-2730
JENNIFER B GALANG NP
Nurse Practitioner (Adult Health)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Hennepin County (952) 924-9005
SUZANNE GAYLE WEINBERGER RN, CNP
Nurse Practitioner (Women's Health)
6405 FRANCE AVE S, SUITE W400
EDINA, MN 55435
Hennepin County (952) 920-2730
PAUL L. BENN M.D.
Surgery
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Hennepin County (952) 927-7004
CHARLES P. NICHOLSON M.D.
Surgery (Vascular Surgery)
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Hennepin County (952) 927-7004
GREGORY HELMER M.D.
Internal Medicine (Interventional Cardiology)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Hennepin County (952) 924-9005
MINNESOTA VASCULAR CLINIC, PLLC
Surgery (Vascular Surgery)
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Hennepin County (952) 927-7004
SHARI MADSON NP
Nurse Practitioner (Adult Health)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Hennepin County (952) 924-9005

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 Gavin's NPI number?

The NPI number for Timothy Gavin is 1528004587. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Timothy Gavin located?

Timothy Gavin practices at 6405 France Ave S Suite W440, Edina, MN 55435. The listed phone number is (952) 927-7004.

What is Timothy Gavin's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Timothy Gavin enrolled in Medicare?

Yes. Timothy Gavin 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.

Which organizations bill Medicare for Timothy Gavin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Gavin reassigns Medicare benefits to 5 organizations: Fairview Express Care (Edina, MN), Fairview Health Services (Edina, MN), Fairview Clinics (Edina, MN), Fairview Specialty Services (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Gavin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Gavin accept?

Health plans from HealthPartners and Sanford Health Plan list Timothy Gavin 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 Gavin affiliated with any hospitals?

According to CMS data, Timothy Gavin is affiliated with M Health Fairview Southdale Hospital and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Gavin was last updated on March 7, 2023. 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.