DR. TIMOTHY RAYMOND WALL DDS
NPI 1932255627
Dentist - General Practice in Pewaukee, WI

Q: What is Timothy Wall's NPI number?

The NPI number for Timothy Wall is 1932255627. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Timothy Wall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Wall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 26, 2007PECOS Enrolled

250 CLARK ST, PEWAUKEE, WI 53072(262) 695-9392 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Timothy Raymond Wall Dds NPPES

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

DR. TIMOTHY RAYMOND WALL DDS (NPI 1932255627) is an individual general practice provider in Pewaukee, Wisconsin, licensed in Wisconsin (3951-015) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932255627

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TIMOTHY RAYMOND WALLCredential: DDS

Location Address250 CLARK STPewaukee, WI 53072-3529

Mailing Address250 Clark StPewaukee, WI 53072-3529 · (262) 695-9392

Phone(262) 695-9392

Sole ProprietorYes

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1932255627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 3951-015

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

250 CLARK ST, Pewaukee, WI 53072

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Raymond Wall Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53072 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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 Wall's NPI number?

The NPI number for Timothy Wall is 1932255627. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Timothy Wall located?

Timothy Wall practices at 250 Clark St, Pewaukee, WI 53072. The listed phone number is (262) 695-9392.

What is Timothy Wall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Timothy Wall enrolled in Medicare?

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

What insurance does Timothy Wall accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Humana list Timothy Wall 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 Timothy Wall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.