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TIMOTHY ROBERT FITZGERALD DDS
NPI 1760580849
Dentist in Macomb, IL

Active since September 20, 2006PECOS Enrolled
335 W JACKSON STREET, MACOMB, IL 61455(309) 833-2125 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Robert Fitzgerald Dds NPPES

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

TIMOTHY ROBERT FITZGERALD DDS (NPI 1760580849) is an individual dentist in Macomb, Illinois and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760580849
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTIMOTHY ROBERT FITZGERALDCredential: DDS
Location Address335 W JACKSON STREETMacomb, IL 61455-2112
Mailing Address335 W Jackson StreetMacomb, IL 61455-2112 · (309) 833-2125
Phone(309) 833-2125
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760580849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
335 W JACKSON STREET, Macomb, IL 61455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Robert Fitzgerald Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61455 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Fitzgerald's NPI number?

The NPI number for Timothy Fitzgerald is 1760580849. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Timothy Fitzgerald located?

Timothy Fitzgerald practices at 335 W Jackson Street, Macomb, IL 61455. The listed phone number is (309) 833-2125.

What is Timothy Fitzgerald's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Timothy Fitzgerald enrolled in Medicare?

Yes. Timothy Fitzgerald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Fitzgerald was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.