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DR. ROBERT JOHN TIMOTHY D.D.S.
NPI 1811953276
Dentist - Oral and Maxillofacial Radiology in Montpelier, ID

Active since April 25, 2006PECOS Enrolled
215 S 4TH ST, MONTPELIER, ID 83254(208) 847-0153 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 20, 2021, Aug 8, 2019 (2 updates tracked since 2019).

About Dr. Robert John Timothy D.d.s. NPPES

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

DR. ROBERT JOHN TIMOTHY D.D.S. (NPI 1811953276) is an individual oral and maxillofacial radiology provider in Montpelier, Idaho, licensed in Utah (145092-9921) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811953276
Entity TypeIndividualMale
Primary Taxonomy1223X0008X
Provider Legal NameDR. ROBERT JOHN TIMOTHYCredential: D.D.S.
Location Address215 S 4TH STMontpelier, ID 83254-1591
Mailing Address215 S 4th StMontpelier, ID 83254-1591 · (208) 847-0153
Phone(208) 847-0153
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
✔ NPI 1811953276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers
Taxonomy Code1223X0008X
License✔ Licensed in UT · 145092-9921
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D-3060 (ID)
215 S 4TH ST, Montpelier, ID 83254
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Other Identifiers 1

Medicaid003303600ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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 (PECOS)

Dr. Robert John Timothy D.d.s. 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 Reassignments

2

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

University Of Utah Dental Services
110 mi
Plastic and Reconstructive Surgery
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 20 clinicians in this Medicare group
NPI 1346633203 (801) 213-3900
East Carolina University
1,581 mi
Dentist
316 COUNTY SERVICES PARK
Sylva, NC 28779
  • Reassigned Medicare billing, North Carolina enrollment
  • 930 clinicians in this Medicare group
NPI 1982028759 (828) 586-1200

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 83254 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

DR. MONTY BRETT WESTON D.D.S.
Dentist (General Practice)
215 S 4TH ST
MONTPELIER, ID 83254
Bear Lake County (208) 847-0153
BEAR LAKE DENTAL CARE, PLLC
Dentist (General Practice)
215 S 4TH ST
MONTPELIER, ID 83254
Bear Lake County (208) 847-0153

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 Robert Timothy's NPI number?

The NPI number for Robert Timothy is 1811953276. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Robert Timothy located?

Robert Timothy practices at 215 S 4th St, Montpelier, ID 83254. The listed phone number is (208) 847-0153.

What is Robert Timothy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

Is Robert Timothy enrolled in Medicare?

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

Which organizations bill Medicare for Robert Timothy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Timothy reassigns Medicare benefits to 2 organizations: University Of Utah Dental Services (Salt Lake City, UT) and East Carolina University (Sylva, NC). 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 Robert Timothy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Timothy accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 10 other insurers list Robert 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.

When was this NPI record last updated?

The NPPES record for Robert Timothy was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.