DR. HEIDI MAE GUECO TIMBOL M.D.
NPI 1619265741
Hospitalist in New Haven, CT

Active since July 11, 2011PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
20 YORK ST, CB-2041, NEW HAVEN, CT 06510(203) 688-4748(203) 688-4740 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Heidi Mae Gueco Timbol M.d. NPPES

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

DR. HEIDI MAE GUECO TIMBOL M.D. (NPI 1619265741) is an individual hospitalist provider in New Haven, Connecticut, licensed in Connecticut (054618) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Adio/pennsylvania Institute Of Straight Chiropractic (2008).

NPPES Registry Identity

NPI1619265741
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. HEIDI MAE GUECO TIMBOLCredential: M.D.
Location Address20 YORK ST, CB-2041New Haven, CT 06510-3220
Mailing Address20 York St, Cb-2041New Haven, CT 06510-3220 · (203) 688-4748 · Fax (203) 688-4740
Fax(203) 688-4740
Sole ProprietorNo
Medical School CMSAdio/pennsylvania Institute Of Straight ChiropracticGraduated 2008
Enumeration DateJuly 11, 2011
Last NPPES UpdateAugust 26, 2016
✔ NPI 1619265741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CT · 054618
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 054618 (CT)
20 YORK ST, CB-2041, New Haven, CT 06510

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

Dr. Heidi Mae Gueco Timbol 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 ID3971822354
PECOS Enrollment IDI20160823000392
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 Heidi Mae Timbol reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 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.

Areas of Expertise CMS Part B claims 4

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.

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.
150 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
45 services34 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.
35 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Internal Medicine
20 YORK ST, CB-2041, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Internal Medicine (Pulmonary Disease)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
Physician Assistant (Medical)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
Physician Assistant (Medical)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
Hospitalist
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
Physician Assistant (Medical)
20 YORK ST, CB-2041, CB-2041
NEW HAVEN, CT 06510
Nurse Practitioner
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
Nurse Practitioner (Adult Health)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510

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 Heidi Mae Timbol's NPI number?

The NPI number for Heidi Mae Timbol is 1619265741. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Heidi Mae Timbol located?

Heidi Mae Timbol practices at 20 York St, Cb-2041, New Haven, CT 06510. The listed phone number is (203) 688-4748.

What is Heidi Mae Timbol's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Heidi Mae Timbol enrolled in Medicare?

Yes. Heidi Mae Timbol 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 Heidi Mae Timbol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Mae Timbol reassigns Medicare benefits to Mill Hill Medical Consultants Inc (New Haven, CT). 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 Heidi Mae Timbol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heidi Mae Timbol accept?

Health plans from Anthem Blue Cross and Blue Shield list Heidi Mae Timbol 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.

When was this NPI record last updated?

The NPPES record for Heidi Mae Timbol was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.