TIMOTHY RICHARD FRESONKE PA-C
NPI 1548945397
Physician Assistant in Perham, MN

Q: What is Timothy Fresonke's NPI number?

The NPI number for Timothy Fresonke is 1548945397. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Q: What is Timothy Fresonke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Fresonke was last updated on June 25, 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.

Active since June 20, 2023PECOS EnrolledAccepts Medicare Assignment

1000 CONEY ST W, PERHAM, MN 56573(218) 347-1400 Get Directions Write a Review

NPPES record last updated: June 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Timothy Richard Fresonke Pa-c NPPES

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

TIMOTHY RICHARD FRESONKE PA-C (NPI 1548945397) is an individual physician assistant in Perham, Minnesota, licensed in Minnesota (14526) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Perham Health, and is a graduate of University Of North Dakota School Of Medicine (2023).

NPPES Registry Identity

NPI1548945397

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTIMOTHY RICHARD FRESONKECredential: PA-C

Location Address1000 CONEY ST WPerham, MN 56573-2102

Mailing Address1000 Coney St WPerham, MN 56573-2102 · (218) 347-1400

Phone(218) 347-1400

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2023

Enumeration DateJune 20, 2023

Last NPPES UpdateJune 25, 2023

NPPES CertifiedJune 25, 2023

✔ NPI 1548945397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 14526

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1000 CONEY ST W, Perham, MN 56573

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Accepted Insurance

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

Timothy Richard Fresonke Pa-c 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 ID8628439205

PECOS Enrollment IDI20230728002085

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.

Hospital Affiliations CMS Care Compare 2

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

Perham Health

Critical Access Hospitals · Perham, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241373

Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County

Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56573 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.

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.

KIMBERLY PETERSEN

Family Medicine