TIMOTHY R PANGBORN MD
NPI 1548286248
Emergency Medicine in Crescent City, CA

Q: What is Timothy Pangborn's NPI number?

The NPI number for Timothy Pangborn is 1548286248. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Timothy Pangborn's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: Is Timothy Pangborn enrolled in Medicare?

No. Timothy Pangborn has opted out of Medicare through August 25, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for Timothy Pangborn was last updated on June 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 14, 2006Opted out of Medicare · through Aug 25, 2027

800 E WASHINGTON BLVD, CRESCENT CITY, CA 95531(707) 464-8511 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Timothy R Pangborn Md NPPES

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

TIMOTHY R PANGBORN MD (NPI 1548286248) is an individual emergency medicine provider in Crescent City, California, licensed in California (G39084) and active in the NPI registry since July 2006. He has opted out of Medicare through August 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548286248

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTIMOTHY R PANGBORNCredential: MD

Location Address800 E WASHINGTON BLVDCrescent City, CA 95531-8359

Mailing Address350 W Cedar St, 4th FloorPensacola, FL 32502-4910 · (800) 444-7009 · Fax (818) 587-2493

Phone(707) 464-8511

Sole ProprietorYes

Enumeration DateJuly 14, 2006

Last NPPES UpdateJune 18, 2015

✔ NPI 1548286248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · G39084

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

800 E WASHINGTON BLVD, Crescent City, CA 95531

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Other Identifiers 4

Other00G390840CA · Blue Shield

Medicare ID-Type Unspecified00G390840CA

Medicaid00G390840CA

Medicare UPINB03999CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Timothy R Pangborn 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 August 25, 2017 through August 25, 2027.

Opt-Out Effective DateAugust 25, 2017

Opt-Out In Effect ThroughAugust 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95531 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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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.

HELMUTH F VOLLGER

Radiology (Diagnostic Radiology)