TIMOTHY ISAAC MILLER
NPI 1568923605
Pathology - Clinical Pathology/Laboratory Medicine in Fargo, ND

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
4840 23RD AVE S, FARGO, ND 58104(701) 417-6999 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 6, 2025, May 21, 2021 (2 updates tracked since 2021).

About Timothy Isaac Miller NPPES

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

TIMOTHY ISAAC MILLER (NPI 1568923605) is an individual clinical pathology/laboratory medicine provider in Fargo, North Dakota, licensed in North Dakota (22190) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568923605
Entity TypeIndividualMale
Primary Taxonomy207ZP0105X
Provider Legal NameTIMOTHY ISAAC MILLER
Location Address4840 23RD AVE SFargo, ND 58104-9136
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1568923605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
License✔ Licensed in ND · 22190
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License MDRE.ML.60952186 (WA)
4840 23RD AVE S, Fargo, ND 58104

Accepted 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 Isaac Miller 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 ID1153654546
PECOS Enrollment IDI20250818000792
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 Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1220 SHEYENNE ST
West Fargo, ND 58078
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 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.

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 58104 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Psychiatry)
4840 23RD AVE S
FARGO, ND 58104
Social Worker
4840 23RD AVE S
FARGO, ND 58104
Psychiatry & Neurology (Psychiatry)
4840 23RD AVE S
FARGO, ND 58104
Psychologist
4840 23RD AVE S
FARGO, ND 58104
Family Medicine
4840 23RD AVE S
FARGO, ND 58104
Nurse Practitioner (Family)
4840 23RD AVE S
FARGO, ND 58104
Family Medicine
4840 23RD AVE S
FARGO, ND 58104
Family Medicine
4840 23RD AVE S
FARGO, ND 58104

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 Miller's NPI number?

The NPI number for Timothy Miller is 1568923605. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Timothy Miller located?

Timothy Miller practices at 4840 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-6999.

What is Timothy Miller's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Timothy Miller enrolled in Medicare?

Yes. Timothy Miller 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 Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Miller reassigns Medicare benefits to Sanford Medical Center Fargo (West Fargo, ND). 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 Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Miller accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Timothy Miller 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 Miller affiliated with any hospitals?

According to CMS data, Timothy Miller is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Timothy Miller was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.