DR. TIMOTHY MARX OSBORN DDS, MD
NPI 1962619684
Oral & Maxillofacial Surgery in Medford, MA

Q: What is Timothy Osborn's NPI number?

The NPI number for Timothy Osborn is 1962619684. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Timothy Osborn's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Osborn was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 16, 2007PECOS Enrolled

287 MIDDLESEX AVE, MEDFORD, MA 02155(617) 286-5780 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Timothy Marx Osborn Dds, Md NPPES

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

DR. TIMOTHY MARX OSBORN DDS, MD (NPI 1962619684) is an individual oral & maxillofacial surgery provider in Medford, Massachusetts, licensed in Massachusetts (243648) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962619684

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. TIMOTHY MARX OSBORNCredential: DDS, MD

Location Address287 MIDDLESEX AVEMedford, MA 02155-5056

Mailing Address287 Middlesex AveMedford, MA 02155-5056 · (617) 447-3980

Phone(617) 286-5780

Sole ProprietorNo

Enumeration DateMay 16, 2007

Last NPPES UpdateJanuary 9, 2023

NPPES CertifiedJanuary 9, 2023

✔ NPI 1962619684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in MA · 243648

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentistTaxonomy 122300000X · License D8485 (OR)

287 MIDDLESEX AVE, Medford, MA 02155

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana 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 Marx Osborn Dds, Md 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.

Other Providers at the Same Location NPPES 7

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

BOSTON CENTER FOR FACIAL AESTHETICS

Clinic/Center (Ambulatory Surgical)