TIMOTHY S KOMOTO MD
NPI 1972678753
Family Medicine in Aitkin, MN

Q: What is Timothy Komoto's NPI number?

The NPI number for Timothy Komoto is 1972678753. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Timothy Komoto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Komoto was last updated on November 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 21, 2006PECOS Enrolled

200 BUNKER HILL DR, AITKIN, MN 56431(218) 927-2157(218) 927-4130 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Timothy S Komoto Md NPPES

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

TIMOTHY S KOMOTO MD (NPI 1972678753) is an individual family medicine provider in Aitkin, Minnesota, licensed in Minnesota (26655) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972678753

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTIMOTHY S KOMOTOCredential: MD

Location Address200 BUNKER HILL DRAitkin, MN 56431-1865

Mailing Address200 Bunker Hill DrAitkin, MN 56431-1865 · (218) 927-2157 · Fax (218) 927-4130

Phone(218) 927-2157

Fax(218) 927-4130

Sole ProprietorNo

Enumeration DateNovember 21, 2006

Last NPPES UpdateNovember 5, 2020

NPPES CertifiedNovember 5, 2020

✔ NPI 1972678753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 26655

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 BUNKER HILL DR, Aitkin, MN 56431

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Other Identifiers 5

Other080015564MN · Medicare Wps - Hospital

Other080015566MN · Medicare Wps - Mcgregor C

Medicaid411008100MN

Other080015846MN · Medicare Wps - Garrison C

Other080015565MN · Medicare Wps - Aitkin Cli

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 S Komoto 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56431 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$185.34 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.

JOHN WESLEY ZIEBARTH CRNA

Nurse Anesthetist, Certified Registered