TIMOTHY J STUDER DO
NPI 1285655407
Family Medicine in Perham, MN
NPI Status: Active since July 22, 2006
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About TIMOTHY STUDER
This page provides the complete NPI Profile along with additional information for Timothy Studer, a primary care provider established in Perham, Minnesota with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1285655407 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 40521 (MN). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1285655407
- Provider Name
- TIMOTHY J STUDER DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1000 CONEY ST W PERHAM, MN 56573
- Location Phone
- (218) 347-1200
- Mailing Address
- PO BOX 5074 SIOUX FALLS, SD 57117
- Mailing Phone
- (605) 328-6585
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-22-2006
- Last Update Date
- 02-17-2023
- Code Navigator
A primary care provider (PCP) like Timothy Studer 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
Secondary Locations
- 20 Centennial 84 Dr W
New York Mills, MN 56567
(218) 385-1800
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.
- 40521
- 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:
- Essentia Choice Care with Medica Bronze HSA - EPO
- Essentia Choice Care with Medica Bronze Share - EPO
- Essentia Choice Care with Medica Expanded Bronze Standard - EPO
- Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Gold Share - EPO
- Essentia Choice Care with Medica Gold Standard - EPO
- Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
- Essentia Choice Care with Medica Silver Share - EPO
- Essentia Choice Care with Medica Silver Standard - EPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Timothy Studer 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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of mild to moderate severity
Emergency department visit for problem of moderate severity
Initial hospital inpatient care per day, typically 50 minutes
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 13 times for 13 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 92 times for 88 patientsAn emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
This service was performed 28 times for 26 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 34 times for 33 patientsInitial 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.
This service was performed 12 times for 12 patientsPhysician 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 56573 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 | 2 | 8 | 5 | 6 | 5 | 5 | 4 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 5 | 10 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 5 + 1 + 0 + 4 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1285655407 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1982637385 | SANFORD CLINIC NORTH Organization | Family Medicine | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1200 |
| 1154343721 | CHAD G THIEL MD Individual | Family Medicine | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1200 |
| 1699789420 | PERHAM HOSPITAL DISTRICT Organization | Durable Medical Equipment & Medical Supplies | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-4500 |
| 1316120199 | MICHELLE R KUEBLER Individual | Nurse Anesthetist, Certified Registered | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-4500 |
| 1902033855 | DR. JANE D WINSTON MD Individual | Family Medicine | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1200 |
| 1588936660 | GWEN MICHELLE HORTER Individual | Dietitian, Registered | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-4500 |
| 1528485877 | PERHAM HOSPITAL DISTRICT Organization | Non-Pharmacy Dispensing Site | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1571 |
| 1154467678 | PERHAM HOSPITAL DISTRICT Organization | Pharmacy (Institutional Pharmacy) | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1580 |
| 1821403635 | KEVIN DALE SWENSON Individual | Physician Assistant (Medical) | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-4500 |
| 1972918472 | MELINDA KAY ANDERSON DNP, FNP-C Individual | Nurse Practitioner (Family) | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-4500 |
| 1558473546 | EAST OTTERTAIL PHARMACY Organization | Pharmacy (Community/Retail Pharmacy) | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1570 |
| 1114280831 | KAILEY WITT MD Individual | Family Medicine | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1200 |
| 1962854646 | RAYNA BERGSETH DNP, NP-C Individual | Nurse Practitioner (Family) | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-4500 |
| 1649774670 | MRS. COLLEEN ANN BAUCK RN CARE COORDINATOR Individual | Registered Nurse (Case Management) | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1236 |
| 1932113768 | PERHAM HOSPITAL DISTRICT Organization | Chiropractor | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-4500 |
| 1790799518 | PERHAM HOSPITAL DISTRICT Organization | General Acute Care Hospital (Critical Access) | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-4500 |
| 1174001648 | JODIE TRITES PHARMACIST Individual | Pharmacist | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1570 |
| 1720521818 | SHANNON MARIE GUCK PA-C Individual | Physician Assistant | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1200 |
| 1982913505 | ILLENE T REED MD Individual | Family Medicine | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1200 |
| 1134656994 | MATTHEW DAVID HAUGEN MD Individual | Family Medicine | 1000 CONEY ST W PERHAM, MN 56573 (218) 347-1299 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285655407, enumerated in the NPI registry as an "individual" on July 22, 2006
The provider is located at 1000 Coney St W Perham, Mn 56573 and the phone number is (218) 347-1200
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medica and Sanford Health Plan. 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.
The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of mild to moderate severity, Emergency department visit for problem of moderate severity and Initial hospital inpatient care per day, typically 50 minutes.
This NPI record was last updated on July 22, 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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