TIMOTHY J GAINEY DDS
NPI 1932589678
Dentist in Sheboygan, WI

Active since June 08, 2015PECOS Enrolled
1931 N. 8TH STREET, SHEBOYGAN, WI 53081(920) 783-6633(920) 783-6392 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy J Gainey Dds NPPES

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

TIMOTHY J GAINEY DDS (NPI 1932589678) is an individual dentist in Sheboygan, Wisconsin, licensed in Wisconsin (1001085-15) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932589678
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTIMOTHY J GAINEYCredential: DDS
Location Address1931 N. 8TH STREETSheboygan, WI 53081-2740
Mailing AddressP O Box 959Sheboygan, WI 53082-0959 · (920) 783-6633 · Fax (920) 783-6392
Fax(920) 783-6392
Sole ProprietorNo
Enumeration DateJune 8, 2015
NPI 1932589678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WI · 1001085-15
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1931 N. 8TH STREET, Sheboygan, WI 53081

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 (PECOS)

Timothy J Gainey 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 53081 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 Gainey's NPI number?

The NPI number for Timothy Gainey is 1932589678. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Timothy Gainey located?

Timothy Gainey practices at 1931 N. 8th Street, Sheboygan, WI 53081. The listed phone number is (920) 783-6633.

What is Timothy Gainey's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Timothy Gainey enrolled in Medicare?

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

What insurance does Timothy Gainey 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 Guardian and 2 other insurers list Timothy Gainey 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 Gainey was last updated on June 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.