DR. TIMOTHY A PIONTKOWSKI DO
NPI 1982706891
Family Medicine in Lapeer, MI

Q: What is Timothy Piontkowski's NPI number?

The NPI number for Timothy Piontkowski is 1982706891. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Timothy Piontkowski's specialty?

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

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment

944 BALDWIN RD, SUITE A, LAPEER, MI 48446(810) 245-5562(810) 245-7838 Get Directions Write a Review

NPPES record last updated: November 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Timothy A Piontkowski Do NPPES

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

DR. TIMOTHY A PIONTKOWSKI DO (NPI 1982706891) is an individual family medicine provider in Lapeer, Michigan, licensed in Michigan (5101010094) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Lapeer Region, and is a graduate of Michigan State University College Of Osteopathic Medicine (1987).

NPPES Registry Identity

NPI1982706891

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TIMOTHY A PIONTKOWSKICredential: DO

Location Address944 BALDWIN RD, SUITE ALapeer, MI 48446-3089

Mailing Address944 Baldwin Rd, Ste ALapeer, MI 48446-3089 · (810) 245-5562 · Fax (810) 245-7838

Phone(810) 245-5562

Fax(810) 245-7838

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1987

Enumeration DateSeptember 1, 2006

Last NPPES UpdateNovember 20, 2011

✔ NPI 1982706891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101010094

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.

944 BALDWIN RD, Lapeer, MI 48446

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Other Identifiers 3

Medicare UPINE93974MI

Medicare PINN29960002MI

Medicaid4069521MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 and accepts Medicare assignment

Dr. Timothy A Piontkowski Do 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 ID3375599541

PECOS Enrollment IDI20050330001097

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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

783 services275 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

178 services178 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

92 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

52 services45 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

26 services25 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

18 services17 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

14 services13 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

14 services12 patients

Stool analysis for blood to screen for colon tumors 82270

A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.

12 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Lapeer Region

Acute Care Hospitals · Lapeer, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230193

Location1375 N Main StLapeer, MI 48446 · Lapeer County

Emergency services Birthing friendly

Ascension Genesys Hospital

Acute Care Hospitals · Grand Blanc, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230197

LocationOne Genesys ParkwayGrand Blanc, MI 48439 · Genesee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48446 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers70 claims212 services$6.42 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers40 claims47 services$1.08 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers24 claims24 services$28.21 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers14 claims14 services$65.53 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers14 claims31 services$25.93 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers17 claims90 services$13.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

KATHLEEN MARY FISHER NP

Nurse Practitioner

944 BALDWIN RD
LAPEER, MI 48446

Lapeer County (810) 245-5562

REGIONAL CARDIOLOGY ASSOCIATES

Internal Medicine (Cardiovascular Disease)

944 BALDWIN RD, SUITE B
LAPEER, MI 48446

Lapeer County (810) 603-0170

MS. JANELLE LYNN KEYSER PA-C

Physician Assistant

944 BALDWIN RD, SUITE A
LAPEER, MI 48446

Lapeer County (810) 245-5562

GENESYS REGIONAL MEDICAL CENTER

Radiology (Diagnostic Radiology)

944 BALDWIN RD, SUITE F
LAPEER, MI 48446

Lapeer County (810) 245-7812

LAPEER MEDICAL ASSOCIATES, PC

Physician Assistant

944 BALDWIN RD, SUITE A
LAPEER, MI 48446

Lapeer County (810) 245-5562

SUSAN L MOREY PT

Physical Therapist

944 BALDWIN RD, STE E
LAPEER, MI 48446

Lapeer County (810) 245-8290

TONI EDWARDS PT

Physical Therapist

944 BALDWIN RD, SUITE E
LAPEER, MI 48446

Lapeer County (810) 245-8290

MR. ARTHUR J TATGE DO

Ophthalmology

944 BALDWIN RD, SUITE H
LAPEER, MI 48446

Lapeer County (810) 667-6408

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 Piontkowski's NPI number?

The NPI number for Timothy Piontkowski is 1982706891. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Timothy Piontkowski located?

Timothy Piontkowski practices at 944 Baldwin Rd Suite A, Lapeer, MI 48446. The listed phone number is (810) 245-5562.

What is Timothy Piontkowski's specialty?

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

Is Timothy Piontkowski enrolled in Medicare?

Yes. Timothy Piontkowski 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.

What insurance does Timothy Piontkowski accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Timothy Piontkowski 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 Piontkowski affiliated with any hospitals?

According to CMS data, Timothy Piontkowski is affiliated with Mclaren Lapeer Region and Ascension Genesys Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Piontkowski was last updated on November 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.