TIMOTHY C HOLLINGSED MD
NPI 1790716181
Surgery in West Valley City, UT

Q: What is Timothy Hollingsed's NPI number?

The NPI number for Timothy Hollingsed is 1790716181. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Timothy Hollingsed's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 05, 2006PECOS Enrolled

3725 W 4100 S, WEST VALLEY CITY, UT 84120(801) 965-3600(801) 965-3526 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Timothy C Hollingsed Md NPPES

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

TIMOTHY C HOLLINGSED MD (NPI 1790716181) is an individual surgery provider in West Valley City, Utah, licensed in Utah (1831771205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790716181

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameTIMOTHY C HOLLINGSEDCredential: MD

Location Address3725 W 4100 SWest Valley City, UT 84120

Mailing Address3725 W 4100 SWest Valley City, UT 84120 · (801) 965-3600 · Fax (801) 965-3526

Phone(801) 965-3600

Fax(801) 965-3526

Sole ProprietorNo

Enumeration DateJuly 5, 2006

Last NPPES UpdateMay 13, 2013

✔ NPI 1790716181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in UT · 1831771205

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3725 W 4100 S, West Valley City, UT 84120

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Other Identifiers 1

Medicare UPINF39042

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy C Hollingsed Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Hollingsed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Granger Medical Clinic PC

0.4 mi

Multi-Specialty

2965 W. 3500 S.
West Valley City, UT 84119

Reassigned Medicare billing, Utah enrollment
190 clinicians in this Medicare group

NPI 1184657041 (801) 965-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84120 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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 20

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

JENNIFER J DENBLEYKER MD

Family Medicine

3725 W 4100 S
WEST VALLEY CITY, UT 84120

Salt Lake County (801) 965-3600

TAMI JOHNSON

Community Health Worker

3725 W 4100 S
WEST VALLEY CITY, UT 84120

Salt Lake County (801) 565-6900

MISS NATALIE EVANS DAHLE PA-S

Physician Assistant

3725 W 4100 S
WEST VALLEY CITY, UT 84120

Salt Lake County (801) 965-3600

MR. BRYAN ALLRED

Pharmacist

3725 W 4100 S
WEST VALLEY, UT 84120

Salt Lake County (801) 597-5650

SHANELL N RICH FNP

Nurse Practitioner

3725 W 4100 S
WEST VALLEY CITY, UT 84120

Salt Lake County (801) 965-3600

DEBORAH PLASMAN PA C

Physician Assistant

3725 W 4100 S
WEST VALLEY CITY, UT 84120

Salt Lake County (801) 965-3600

BRYNLEE LEAVITT

Community Health Worker

3725 W 4100 S
WEST VALLEY CITY, UT 84120

Salt Lake County (801) 565-6900

MS. CARINA LESSER FNP

Nurse Practitioner

3725 W 4100 S
WEST VALLEY CITY, UT 84120

Salt Lake County (801) 965-3600

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 Hollingsed's NPI number?

The NPI number for Timothy Hollingsed is 1790716181. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Timothy Hollingsed located?

Timothy Hollingsed practices at 3725 W 4100 S, West Valley City, UT 84120. The listed phone number is (801) 965-3600.

What is Timothy Hollingsed's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Timothy Hollingsed enrolled in Medicare?

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

Which organization bills Medicare for Timothy Hollingsed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Hollingsed reassigns Medicare benefits to Granger Medical Clinic PC (West Valley City, UT). 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 Hollingsed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Hollingsed was last updated on May 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.