TIMOTHY STEPHEN FUSIAK DO
NPI 1548505035
Internal Medicine - Pulmonary Disease in Norfolk, VA

Active since December 10, 2012PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
600 GRESHAM DR, STE 8630B, NORFOLK, VA 23507(757) 388-6115(757) 275-9998 Get Directions Write a Review

NPPES record last updated: June 15, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Timothy Stephen Fusiak Do NPPES

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

TIMOTHY STEPHEN FUSIAK DO (NPI 1548505035) is an individual pulmonary disease provider in Norfolk, Virginia, licensed in Virginia (0102204499) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1548505035
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTIMOTHY STEPHEN FUSIAKCredential: DO
Location Address600 GRESHAM DR, STE 8630BNorfolk, VA 23507-1904
Mailing Address600 Gresham Dr, Ste 8630bNorfolk, VA 23507-1904 · (757) 388-6115 · Fax (757) 275-9998
Fax(757) 275-9998
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 10, 2012
Last NPPES UpdateJune 15, 2019
✔ NPI 1548505035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in VA · 0102204499
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
600 GRESHAM DR, Norfolk, VA 23507

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 Stephen Fusiak Do 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 ID840586749
PECOS Enrollment IDI20160901000035
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 Reassignment

Medicare enrollment records show Timothy Fusiak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$14.97 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers23 claims23 services$905.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers39 claims39 services$65.09 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
5 suppliers46 claims46 services$32.65 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 20

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

Nurse Practitioner (Family)
600 GRESHAM DR
NORFOLK, VA 23507
Audiologist
600 GRESHAM DR, SUITE 1100
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Physical Therapist
600 GRESHAM DR
NORFOLK, VA 23507
Anesthesiology
600 GRESHAM DR
NORFOLK, VA 23507
Nurse Anesthetist, Certified Registered
600 GRESHAM DR
NORFOLK, VA 23507

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 Fusiak's NPI number?

The NPI number for Timothy Fusiak is 1548505035. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Where is Timothy Fusiak located?

Timothy Fusiak practices at 600 Gresham Dr Ste 8630B, Norfolk, VA 23507. The listed phone number is (757) 388-6115.

What is Timothy Fusiak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Timothy Fusiak enrolled in Medicare?

Yes. Timothy Fusiak 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 organization bills Medicare for Timothy Fusiak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Fusiak reassigns Medicare benefits to Sentara Medical Group (Norfolk, VA). The 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 Fusiak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Timothy Fusiak affiliated with any hospitals?

According to CMS data, Timothy Fusiak is affiliated with Sentara Williamsburg Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Fusiak was last updated on June 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.