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PRIYANKA TIMOTHY M.D.
NPI 1669824843
Allergy & Immunology in Marshfield, WI

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5600 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2017, Jul 12, 2016 (2 updates tracked since 2016).

About Priyanka Timothy M.d. NPPES

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

PRIYANKA TIMOTHY M.D. (NPI 1669824843) is an individual allergy & immunology provider in Marshfield, Wisconsin, licensed in Wisconsin (68803) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669824843
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NamePRIYANKA TIMOTHYCredential: M.D.
Location Address1000 N OAK AVEMarshfield, WI 54449-5703
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5600
Phone(715) 387-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 12, 2016
Last NPPES UpdateJune 28, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1669824843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in WI · 68803
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
1000 N OAK AVE, Marshfield, WI 54449
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Priyanka Timothy 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 ID4587929757
PECOS Enrollment IDI20221011002599
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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.

ALISON RAE SAMPSON D.O.
Obstetrics & Gynecology
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5161
TAMARA L. LEAHY NP
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (800) 782-8581
SAMANTHA ELAINE MOORE RD, CD, CDCES
Dietitian, Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-7464
EUGENE H. LARSON PA
Physician Assistant
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5245
JAMES SKIBBA CRNA
Nurse Anesthetist, Certified Registered
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-7179
KENNETH E ENGELHART MD
Internal Medicine
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5704
KRISTIN M GERNDT MD
Radiology (Vascular & Interventional Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 389-3474
VIRGINIA WOOLWORTH NP
Nurse Practitioner
1000 N OAK AVE
MARSHFIELD, WI 54449
Wood County (715) 387-5558

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 Priyanka Timothy's NPI number?

The NPI number for Priyanka Timothy is 1669824843. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Priyanka Timothy located?

Priyanka Timothy practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5600.

What is Priyanka Timothy's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Priyanka Timothy enrolled in Medicare?

Yes. Priyanka Timothy 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.

What insurance does Priyanka Timothy accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Priyanka Timothy 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 Priyanka Timothy affiliated with any hospitals?

According to CMS data, Priyanka Timothy is affiliated with Marshfield Medical Center - Rice Lake, Marshfield Medical Center and Marshfield Medical Center - Minocqua.

When was this NPI record last updated?

The NPPES record for Priyanka Timothy was last updated on June 28, 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.