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DR. TIMOTHY THOMAS COYLE MD DDS
NPI 1952376964
Dentist - Oral and Maxillofacial Surgery in Columbia, MO

Active since February 22, 2006Opted out of Medicare · through Jan 1, 2027
3015 S PROVIDENCE RD, SUITE 5, COLUMBIA, MO 65203(573) 449-4900(573) 875-6142 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy Thomas Coyle Md Dds NPPES

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

DR. TIMOTHY THOMAS COYLE MD DDS (NPI 1952376964) is an individual oral and maxillofacial surgery provider in Columbia, Missouri, licensed in Missouri (015920) and active in the NPI registry since February 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952376964
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TIMOTHY THOMAS COYLECredential: MD DDS
Location Address3015 S PROVIDENCE RD, SUITE 5Columbia, MO 65203
Mailing Address3015 S Providence Rd, Suite 5Columbia, MO 65203 · (573) 449-4900 · Fax (573) 875-6142
Phone(573) 449-4900
Fax(573) 875-6142
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateApril 11, 2017
✔ NPI 1952376964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MO · 015920✔ Licensed in MO · 2002020403
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3015 S PROVIDENCE RD, Columbia, MO 65203
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Timothy Thomas Coyle Md Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2013 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2013
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65203 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 4

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

DR. JOHN ANTHONY JOHNSON DDS
Dentist (Oral and Maxillofacial Surgery)
3015 S PROVIDENCE RD
COLUMBIA, MO 65203
Boone County (573) 449-4900
COYLE & JOHNSON, ORAL & MAXILLOFACIAL SURGERY, LLC
Dentist (Oral and Maxillofacial Surgery)
3015 S PROVIDENCE RD
COLUMBIA, MO 65203
Boone County (573) 449-4900
MR. WAYNE R HAWKS D.M.D.
Dentist (General Practice)
3015 S PROVIDENCE RD, SUITE 4
COLUMBIA, MO 65203
Boone County (573) 449-2941
DR. JOHN CHARLES LANCE DDS
Dentist (Oral and Maxillofacial Surgery)
3015 S PROVIDENCE RD, SUITE 5
COLUMBIA, MO 65203
Boone County (573) 449-4900

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 Coyle's NPI number?

The NPI number for Timothy Coyle is 1952376964. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Timothy Coyle located?

Timothy Coyle practices at 3015 S Providence Rd Suite 5, Columbia, MO 65203. The listed phone number is (573) 449-4900.

What is Timothy Coyle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Timothy Coyle enrolled in Medicare?

No. Timothy Coyle has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Timothy Coyle was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.