TIMOTHY J RUMSEY MD
NPI 1124088315
Family Medicine in Saint Paul, MN
NPI Status: Active since March 23, 2006
- Individual
- Male
- Family Medicine
- PECOS Enrolled
About TIMOTHY RUMSEY
This page provides the complete NPI Profile along with additional information for Timothy Rumsey, a primary care provider established in Saint Paul, Minnesota with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1124088315 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 22242 (MN). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1124088315
- Provider Name
- TIMOTHY J RUMSEY MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1026 7TH ST W SAINT PAUL, MN 55102
- Location Phone
- (651) 241-1000
- Mailing Address
- 1026 7TH ST W SAINT PAUL, MN 55102
- Mailing Phone
- (651) 241-1000
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2006
- Last Update Date
- 10-26-2012
- Code Navigator
A primary care provider (PCP) like Timothy Rumsey sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 22242
- License State
- MN
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23Y93RU | OTHER (01) | MN | BCBS |
| A96369 | MEDICARE UPIN (02) | MN | |
| 01-07915 | OTHER (01) | MN | MEDICA |
| 102244 | OTHER (01) | MN | UCARE |
| HP96369 | OTHER (01) | MN | HEALTH PARTNERS |
| 080013957 | MEDICARE ID-TYPE UNSPECIFIED (04) | MN | |
| 290583300 | MEDICAID (05) | MN |
Medicare Participation & PECOS Enrollment Status
Timothy Rumsey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55102 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.82
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $21.45
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.61
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $24.65
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 8 | 8 | 3 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 8 | 16 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 8 + 1 + 6 + 3 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1124088315 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164561460 | PHYLLIS E PARR RNP Individual | Nurse Practitioner | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1124304373 | ANDRADA LAVINIA HRDLICKA RDH Individual | Dental Hygienist | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1710206388 | DR. LAURA J. LEHMANN M.D. Individual | Internal Medicine | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1457718231 | KATHRYN ESTELLE HEISEL Individual | Social Worker | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1265890230 | NORA BEDARD Individual | Social Worker | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1091 |
| 1427047638 | DR. PHUONG-GIANG THI PHAM DDS Individual | Dentist (General Practice) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1110 |
| 1700326857 | TSITSI HUNGWE Individual | Dentist | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1133 |
| 1366989154 | MELISSA ELUMBA N.P.-C Individual | Nurse Practitioner (Family) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1265494512 | SCOTT W TONGEN MD Individual | Family Medicine | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1184809907 | JENNIFER LARSON PA-C Individual | Physician Assistant | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
| 1568925634 | MAGGIE MARIE PRUNTY CNP Individual | Nurse Practitioner (Adult Health) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1821740093 | JOHN KIIZA Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1912118522 | BERNADETTE KIM QUADLING MBBCH Individual | Internal Medicine (Geriatric Medicine) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9413 |
| 1982337408 | TRAVIS HARRIS MSW, LGSW Individual | Social Worker (Clinical) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1598451114 | DR. GARRETT HANS JONATHAN BOGGS MD Individual | Student in an Organized Health Care Education/Training Program | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1194429597 | MCKENZIE WALLACE STUDENT Individual | Dentist (General Practice) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1972284602 | ALLYSON LYNN ENDERSBE LGSW Individual | Social Worker | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1588350425 | UNITED FAMILY PRACTICE HEALTH CENTER Organization | Pharmacy (Clinic Pharmacy) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1851300149 | UNITED FAMILY PRACTICE HEALTH CENTER Organization | Family Medicine | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 758-9500 |
| 1902140205 | UNITED FAMILY PRACTICE HEALTH CENTER Organization | Clinic/Center (Dental) | 1026 7TH ST W SAINT PAUL, MN 55102 (651) 241-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124088315, enumerated in the NPI registry as an "individual" on March 23, 2006
The provider is located at 1026 7th St W Saint Paul, Mn 55102 and the phone number is (651) 241-1000
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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