DR. TIMOTHY C GALBRAITH D.O.
NPI 1861597304
Orthopaedic Surgery - Sports Medicine in Jefferson City, MO

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1125 MADISON ST, JEFFERSON CITY, MO 65101(573) 632-5583(573) 632-5896 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2025, Jun 20, 2024, May 26, 2017 (3 updates tracked since 2017).

About Dr. Timothy C Galbraith D.o. NPPES

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

DR. TIMOTHY C GALBRAITH D.O. (NPI 1861597304) is an individual sports medicine provider in Jefferson City, Missouri, licensed in Missouri (112752) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of West Virginia School Of Osteopathic Medicine (1991).

NPPES Registry Identity

NPI1861597304
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. TIMOTHY C GALBRAITHCredential: D.O.
Location Address1125 MADISON STJefferson City, MO 65101-5227
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(573) 632-5896
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1991
Enumeration DateSeptember 13, 2006
Last NPPES UpdateFebruary 3, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
NPI 1861597304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in MO · 112752
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 112752 (MO)
1125 MADISON ST, Jefferson City, MO 65101

Other Identifiers 1

Medicaid248848426MO

Accepted 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. Timothy C Galbraith D.o. 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 ID4789660242
PECOS Enrollment IDI20100818001226
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 15

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.
91 services74 patients
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.
70 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services53 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
51 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260009
Location601 E 14th StSedalia, MO 65302 · Pettis County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier24 claims444 services$18.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Occupational Therapist
1125 MADISON ST
JEFFERSON CITY, MO 65101
Durable Medical Equipment & Medical Supplies
1125 MADISON ST
JEFFERSON CITY, MO 65101
Student in an Organized Health Care Education/Training Program
1125 MADISON ST
JEFFERSON CITY, MO 65101
Nurse Anesthetist, Certified Registered
1125 MADISON ST
JEFFERSON CITY, MO 65101
Pediatrics
1125 MADISON ST
JEFFERSON CITY, MO 65101
Psychiatry & Neurology (Neurology)
1125 MADISON ST
JEFFERSON CITY, MO 65101
Nurse Anesthetist, Certified Registered
1125 MADISON ST
JEFFERSON CITY, MO 65101
Hospitalist
1125 MADISON ST
JEFFERSON CITY, MO 65101

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 Galbraith's NPI number?

The NPI number for Timothy Galbraith is 1861597304. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Timothy Galbraith located?

Timothy Galbraith practices at 1125 Madison St, Jefferson City, MO 65101. The listed phone number is (573) 632-5583.

What is Timothy Galbraith's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Timothy Galbraith enrolled in Medicare?

Yes. Timothy Galbraith 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 Timothy Galbraith accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Timothy Galbraith 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 Galbraith affiliated with any hospitals?

According to CMS data, Timothy Galbraith is affiliated with Bothwell Regional Health Center, University Of Missouri Health Care and Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Timothy Galbraith was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.