TIMOTHY EUGENE LEWIS DDS
NPI 1780787119
Dentist in Hannibal, MO

Active since September 07, 2006PECOS Enrolled
501 CLINIC RD, HANNIBAL, MO 63401(573) 221-3360(573) 221-1472 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy Eugene Lewis Dds NPPES

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

TIMOTHY EUGENE LEWIS DDS (NPI 1780787119) is an individual dentist in Hannibal, Missouri, licensed in Missouri (DE015702) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780787119
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTIMOTHY EUGENE LEWISCredential: DDS
Location Address501 CLINIC RDHannibal, MO 63401
Mailing Address73 Meadows RdHannibal, MO 63401 · (573) 221-1885
Fax(573) 221-1472
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1780787119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MO · DE015702
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.
501 CLINIC RD, Hannibal, MO 63401

Other Identifiers 1

Medicaid1004517IL

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 Eugene Lewis 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 63401 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 2

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

Dentist
501 CLINIC RD
HANNIBAL, MO 63401
Dentist (General Practice)
501 CLINIC RD
HANNIBAL, MO 63401

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 Lewis's NPI number?

The NPI number for Timothy Lewis is 1780787119. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Timothy Lewis located?

Timothy Lewis practices at 501 Clinic Rd, Hannibal, MO 63401. The listed phone number is (573) 221-3360.

What is Timothy Lewis's specialty?

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

Is Timothy Lewis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Timothy Lewis 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.