DR. TIM C KISABETH MD
NPI 1851384796
Obstetrics & Gynecology in Jerseyville, IL

Q: What is Tim Kisabeth's NPI number?

The NPI number for Tim Kisabeth is 1851384796. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Q: What is Tim Kisabeth's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tim Kisabeth was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment

270 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052(618) 498-4166(618) 639-7997 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2024, Nov 7, 2024, Dec 22, 2021 and 1 more (4 updates tracked since 2020).

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About Dr. Tim C Kisabeth Md NPPES

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

DR. TIM C KISABETH MD (NPI 1851384796) is an individual obstetrics & gynecology provider in Jerseyville, Illinois, licensed in Illinois (036-073254) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of Ohio Medical University (1982).

NPPES Registry Identity

NPI1851384796

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. TIM C KISABETHCredential: MD

Location Address270 MAPLE SUMMIT RDJerseyville, IL 62052

Mailing Address390 Maple Summit RdJerseyville, IL 62052-2000 · (618) 498-7518 · Fax (618) 498-3052

Phone(618) 498-4166

Fax(618) 639-7997

Sole ProprietorNo

Medical School CMSOhio Medical UniversityGraduated 1982

Enumeration DateAugust 25, 2005

Last NPPES UpdateNovember 13, 20244 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1851384796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036-073254

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

270 MAPLE SUMMIT RD, Jerseyville, IL 62052

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Other Identifiers 1

Medicaid036073254IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tim C Kisabeth Md 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 ID6002710985

PECOS Enrollment IDI20050922000736

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.

Areas of Expertise CMS Part B claims

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.

Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274

A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.

48 services48 patients

Hospital Affiliations CMS Care Compare 3

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140052

LocationSt Anthony's WayAlton, IL 62002 · Madison County

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140059

Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62052 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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 12

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

METODIA J WEBSTER MD

Psychiatry & Neurology (Psychiatry)

270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052

Jersey County (618) 639-9952

MISS SONYA R SCHLEEPER M.D.

Family Medicine

270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052

Jersey County (618) 498-7108

DONALD E MURRAY MD

Internal Medicine

270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052

Jersey County (618) 498-7108

JERSEY COMMUNITY HOSPITAL

Clinic/Center (Rural Health)

270 MAPLE SUMMIT RD, MCDOW BLDG
JERSEYVILLE, IL 62052

Jersey County (618) 498-7108

MEDICAL ASSOCIATES OF JERSEYVILLE, LTD.

Family Medicine

270 MAPLE SUMMIT RD, MCDOW BUILDING
JERSEYVILLE, IL 62052

Jersey County (618) 498-7108

DUSTIN STEWART

Family Medicine

270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052

Jersey County (618) 498-7108

HUANG SURGICAL CLINIC LTD.

Surgery

270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052

Jersey County (618) 498-5722

MS. CAROL M LESKO N.P.

Nurse Practitioner (Women's Health)

270 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052

Jersey County (618) 498-4166

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 Tim Kisabeth's NPI number?

The NPI number for Tim Kisabeth is 1851384796. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Tim Kisabeth located?

Tim Kisabeth practices at 270 Maple Summit Rd, Jerseyville, IL 62052. The listed phone number is (618) 498-4166.

What is Tim Kisabeth's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tim Kisabeth enrolled in Medicare?

Yes. Tim Kisabeth 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.

What insurance does Tim Kisabeth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Tim Kisabeth 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 Tim Kisabeth affiliated with any hospitals?

According to CMS data, Tim Kisabeth is affiliated with Alton Memorial Hospital, Osf Saint Anthony's Health Center and Jersey Community Hospital.

When was this NPI record last updated?

The NPPES record for Tim Kisabeth was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.