DR. TIMOTHY JOSEPH EDMISTON M.D.
NPI 1982021549
Hospitalist in Bemidji, MN

Active since March 20, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1300 ANNE ST NW, BEMIDJI, MN 56601(813) 468-7412 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2026, Dec 3, 2025, Nov 15, 2024 and 1 more (4 updates tracked since 2018).

About Dr. Timothy Joseph Edmiston M.d. NPPES

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

DR. TIMOTHY JOSEPH EDMISTON M.D. (NPI 1982021549) is an individual hospitalist provider in Bemidji, Minnesota, licensed in Minnesota (63877) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Medical Center - Nampa, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982021549
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. TIMOTHY JOSEPH EDMISTONCredential: M.D.
Location Address1300 ANNE ST NWBemidji, MN 56601
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 20, 2014
Last NPPES UpdateJuly 30, 20264 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1982021549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MN · 63877✔ Licensed in MT · 160475✔ Licensed in ID · 4081424
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1300 ANNE ST NW, Bemidji, MN 56601

Secondary Practice Locations 2

Location 14300 E Flamingo AveNampa, ID 83687-3138 · Phone (208) 463-5000
Location 21101 26th St SGreat Falls, MT 59405-5161 · Phone (406) 455-5000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy Joseph Edmiston M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517267313
PECOS Enrollment IDI20250903003885, I20260813004978
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.

Medicare Billing Reassignments

13

Medicare enrollment records show Timothy Edmiston reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
209 2ND ST SE
Barnesville, MN 56514
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1285525436 (Minnesota)
  • 183 clinicians in this Medicare group
General Acute Care Hospital
911 NORTHLAND DR
Princeton, MN 55371
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Family Medicine
911 NORTHLAND DR
Princeton, MN 55371
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Family Medicine
415 9TH ST
Britton, SD 57430
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Lukes
  • 259 clinicians in this Medicare group
Clinic/Center
1055 CENTERVILLE CIR
Vadnais Heights, MN 55127
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
General Acute Care Hospital
1575 BEAM AVE
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
764 mi
General Acute Care Hospital
3010 15TH AVE S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 163 clinicians in this Medicare group
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
228 services84 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
73 services73 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
69 services28 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
41 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56601 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$22.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier39 claims39 services$119.43 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.

Physician Assistant
1300 ANNE ST NW
BEMIDJI, MN 56601
Physician Assistant
1300 ANNE ST NW
BEMIDJI, MN 56601
Nurse Anesthetist, Certified Registered
1300 ANNE ST NW
BEMIDJI, MN 56601
Emergency Medicine
1300 ANNE ST NW, SANFORD BEMIDJI MEDICAL CENTER
BEMIDJI, MN 56601
Obstetrics & Gynecology
1300 ANNE ST NW
BEMIDJI, MN 56601
Nurse Anesthetist, Certified Registered
1300 ANNE ST NW
BEMIDJI, MN 56601
Obstetrics & Gynecology (Obstetrics)
1300 ANNE ST NW
BEMIDJI, MN 56601
Hospitalist
1300 ANNE ST NW
BEMIDJI, MN 56601

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 Edmiston's NPI number?

The NPI number for Timothy Edmiston is 1982021549. It was assigned to this individual provider in the NPPES registry on March 20, 2014.

Where is Timothy Edmiston located?

Timothy Edmiston practices at 1300 Anne St NW, Bemidji, MN 56601. The listed phone number is (813) 468-7412.

What is Timothy Edmiston's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Timothy Edmiston enrolled in Medicare?

Yes. Timothy Edmiston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Timothy Edmiston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Edmiston reassigns Medicare benefits to 13 organizations: Lake Region Healthcare Corporation (Barnesville, MN), Fairview Health Services (Princeton, MN), Fairview Express Care (Princeton, MN), Avera St. Luke's (Britton, SD), Healtheast Medical Research Institute (Vadnais Heights, MN) and 8 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Edmiston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Edmiston accept?

Health plans from Blue Cross and Blue Shield of Montana and Wellmark Health Plan of Iowa, Inc. list Timothy Edmiston 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.

Is Timothy Edmiston affiliated with any hospitals?

According to CMS data, Timothy Edmiston is affiliated with Saint Alphonsus Medical Center - Nampa, Benefis Hospitals Inc and Great Falls Clinic Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Edmiston was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.