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DR. TIMOTHY RAYMOND SCHMAKEL D.D.S., M.D.
NPI 1811008154
Dentist - Oral and Maxillofacial Surgery in Bingham Farms, MI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
90.09/100
CMS Quality Rating
31100 TELEGRAPH RD, SUITE 100, BINGHAM FARMS, MI 48025(248) 642-2115(248) 642-6387 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Timothy Raymond Schmakel D.d.s., M.d. NPPES

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

DR. TIMOTHY RAYMOND SCHMAKEL D.D.S., M.D. (NPI 1811008154) is an individual oral and maxillofacial surgery provider in Bingham Farms, Michigan, licensed in Michigan (16953) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Macomb Oakland Hosp-warren Campus, and is a graduate of Wayne State University School Of Medicine (1999).

NPPES Registry Identity

NPI1811008154
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TIMOTHY RAYMOND SCHMAKELCredential: D.D.S., M.D.
Location Address31100 TELEGRAPH RD, SUITE 100Bingham Farms, MI 48025-4363
Mailing Address31100 Telegraph Rd, Suite 100Bingham Farms, MI 48025-4363 · (248) 642-2115 · Fax (248) 642-6387
Phone(248) 642-2115
Fax(248) 642-6387
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1999
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 22, 2014
✔ NPI 1811008154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 16953
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 290106953 (MI)
31100 TELEGRAPH RD, Bingham Farms, MI 48025
Open in Google Maps ↗

Other Identifiers 4

Other0N36170Medicare Ptan
Medicaid124370251MI
Medicaid104370251MI
Medicare UPIN486920MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Timothy Raymond Schmakel D.d.s., 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 ID1153403324
PECOS Enrollment IDI20080126000030
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 Reassignments

2

Medicare enrollment records show Timothy Schmakel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Timothy Schmakel PC
Same address
Oral and Maxillofacial Surgery
31100 TELEGRAPH RD, SUITE 100
Bingham Farms, MI 48025
  • Reassigned Medicare billing, Michigan enrollment
NPI 1316016561 (248) 642-2115
Henry Ford Health Macomb-Oakland Hospital
14 mi
Family Medicine
11800 E 12 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • 161 clinicians in this Medicare group
NPI 1134176472 (586) 573-5000

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 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services16 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48025 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

90.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.56
Promoting Interoperability100
Improvement Activities40
Cost54.6

Other Providers at the Same Location NPPES 13

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

JAMES W. LEPCZYK D.D.S., P.C.
Dentist (Oral and Maxillofacial Surgery)
31100 TELEGRAPH RD, SUITE 100
BINGHAM FARMS, MI 48025
Oakland County (248) 642-2115
MRS. MELISSA H. KNUDSON R.D.
Dietitian, Registered
31100 TELEGRAPH RD, SUITE #110
BINGHAM FARMS, MI 48025
Oakland County (248) 647-1706
TIMOTHY SCHMAKEL PC
Dentist (Oral and Maxillofacial Surgery)
31100 TELEGRAPH RD, SUITE 100
BINGHAM FARMS, MI 48025
Oakland County (248) 642-2115
DR. RAYMOND T HAJJAR JR. D.O.
Plastic Surgery
31100 TELEGRAPH RD, STE 280
BINGHAM FARMS, MI 48025
Oakland County (248) 208-8844
DEREK R. NYKIEL DDS PC
Dentist (Oral and Maxillofacial Surgery)
31100 TELEGRAPH RD, SUITE 100
BINGHAM FARMS, MI 48025
Oakland County (248) 642-2115
DR. ROBERT BRUCE MACINTOSH D.D.S.
Dentist (Oral and Maxillofacial Surgery)
31100 TELEGRAPH RD, SUITE 100
BINGHAM FARMS, MI 48025
Oakland County (248) 642-2115
ROBERT BRUCE MACINTOSH D.D.S., P.C.
Dentist (Oral and Maxillofacial Surgery)
31100 TELEGRAPH RD, SUITE 100
BINGHAM FARMS, MI 48025
Oakland County (248) 642-2115
DR. GAIL PARKER JOHNSON PH.D.
Psychologist
31100 TELEGRAPH RD, SUITE 110
BINGHAM FARMS, MI 48025
Oakland County (248) 646-3090

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 Schmakel's NPI number?

The NPI number for Timothy Schmakel is 1811008154. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Timothy Schmakel located?

Timothy Schmakel practices at 31100 Telegraph Rd Suite 100, Bingham Farms, MI 48025. The listed phone number is (248) 642-2115.

What is Timothy Schmakel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Timothy Schmakel enrolled in Medicare?

Yes. Timothy Schmakel 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 organizations bill Medicare for Timothy Schmakel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Schmakel reassigns Medicare benefits to 2 organizations: Timothy Schmakel PC (Bingham Farms, MI) and Henry Ford Health Macomb-Oakland Hospital (Warren, MI). Each 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 Schmakel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Schmakel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Care Network of Michigan and 13 other insurers list Timothy Schmakel 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 Timothy Schmakel affiliated with any hospitals?

According to CMS data, Timothy Schmakel is affiliated with Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Timothy Schmakel was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.