DR. TIMOTHY JOE MISENHEIMER M.D.
NPI 1538268461
Specialist in Asheboro, NC

Q: What is Timothy Misenheimer's NPI number?

The NPI number for Timothy Misenheimer is 1538268461. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Timothy Misenheimer's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment

548 GREENSBORO ST, ASHEBORO, NC 27203(336) 629-5989(336) 629-9868 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Timothy Joe Misenheimer M.d. NPPES

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

DR. TIMOTHY JOE MISENHEIMER M.D. (NPI 1538268461) is an individual specialist in Asheboro, North Carolina, licensed in North Carolina (32950) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1987).

NPPES Registry Identity

NPI1538268461

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. TIMOTHY JOE MISENHEIMERCredential: M.D.

Location Address548 GREENSBORO STAsheboro, NC 27203-5573

Mailing Address548 Greensboro StAsheboro, NC 27203-5573 · (336) 629-5989 · Fax (336) 629-9868

Phone(336) 629-5989

Fax(336) 629-9868

Sole ProprietorYes

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1987

Enumeration DateSeptember 21, 2006

Last NPPES UpdateMay 25, 2022

NPPES CertifiedMay 25, 2022

✔ NPI 1538268461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 32950

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

548 GREENSBORO ST, Asheboro, NC 27203

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Other Identifiers 5

Other59547NC · Bcbs

Other26738NC · Partners

Medicaid8959547NC

OtherC0760NC · Medcost

Other551574NC · Mamsi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 Joe Misenheimer 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 ID5890875306

PECOS Enrollment IDI20080109000221

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 14

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.

158 services115 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.

80 services80 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

53 services53 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.

45 services45 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.

43 services36 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

39 services39 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

34 services16 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

33 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services16 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

20 services20 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

19 services19 patients

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.

19 services16 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

15 services15 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340091

Location1200 N Elm StGreensboro, NC 27401 · Guilford County

Emergency services Birthing friendly

Randolph Hospital

Acute Care Hospitals · Asheboro, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340123

Location364 White Oak StreetAsheboro, NC 27204 · Randolph County

Emergency services Birthing friendly

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.

ASHEBORO DIGESTIVE DISEASE CLINIC PA

Internal Medicine (Gastroenterology)

548 GREENSBORO ST
ASHEBORO, NC 27203

Randolph County (336) 629-5989

AMERICAN HEALTHCARE SYSTEMS LLC

Internal Medicine (Gastroenterology)

548 GREENSBORO ST
ASHEBORO, NC 27203

Randolph County (336) 629-5989

DR. ASHLEY PFANNENSTIEL KERN DNP AGNP

Nurse Practitioner (Adult Health)

548 GREENSBORO ST
ASHEBORO, NC 27203

Randolph County (336) 629-5989

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 Misenheimer's NPI number?

The NPI number for Timothy Misenheimer is 1538268461. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Timothy Misenheimer located?

Timothy Misenheimer practices at 548 Greensboro St, Asheboro, NC 27203. The listed phone number is (336) 629-5989.

What is Timothy Misenheimer's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Timothy Misenheimer enrolled in Medicare?

Yes. Timothy Misenheimer 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 Misenheimer accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Timothy Misenheimer 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 Misenheimer affiliated with any hospitals?

According to CMS data, Timothy Misenheimer is affiliated with Moses H. Cone Memorial Hospital, The and Randolph Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Misenheimer was last updated on May 25, 2022. 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.