TIMOTHY J KOOB DDS
NPI 1538104088
Dentist - Oral and Maxillofacial Surgery in Madison, WI
NPI Status: Active since June 18, 2006
Contact Information
5801 RESEARCH PARK BLVD
STE 110
MADISON, WI
ZIP 53719
Phone: (608) 274-0770
Fax: (608) 274-9224
- Individual
- Male
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About TIMOTHY KOOB
This page provides the complete NPI Profile along with additional information for Timothy Koob, a provider established in Madison, Wisconsin with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1538104088 assigned on June 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 5109 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1538104088
- Provider Name
- TIMOTHY J KOOB DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5801 RESEARCH PARK BLVD STE 110 MADISON, WI 53719
- Location Phone
- (608) 274-0770
- Location Fax
- (608) 274-9224
- Mailing Address
- 3146 WAUCHEETA TRL MADISON, WI 53711
- Mailing Phone
- (608) 222-8093
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-18-2006
- Last Update Date
- 07-09-2007
- Code Navigator
A dentist like Timothy Koob is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Timothy Koob opted out of Medicare effective on 04-13-2015 until 04-13-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 5109
- License State
- WI
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Focus Bronze $0 Copay PCP Visits - EPO
- Dean Focus Bronze Share - EPO
- Dean Focus Catastrophic - EPO
- Dean Focus Expanded Bronze Standard - EPO
- Dean Focus Gold HSA - EPO
- Dean Focus Gold Share - EPO
- Dean Focus Gold Standard - EPO
- Dean Focus Silver $0 Copay PCP Visits - EPO
- Dean Focus Silver Share - EPO
- Dean Focus Silver Standard - EPO
- Dean Gold HSA - HMO
- Dean Gold Share - HMO
- Dean Gold Standard - HMO
- Dean Silver $0 Copay PCP Visits - HMO
- Dean Silver Share - HMO
- Dean Silver Standard - HMO
- Delta Dental Individual and Family High Plan - PPO
- Delta Dental Individual and Family Low Plan - PPO
- Delta Dental Individual and Family Low Plan Major - PPO
- Delta Dental PPO Plus Premier Family Plan High Option - PPO
- Delta Dental PPO Plus Premier Family Plan Low Option - PPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
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 |
|---|---|---|---|
| 12127 | OTHER (01) | WI | DEAN HEALTH PLAN |
| U76877 | MEDICARE UPIN (02) | WI | |
| 33754500 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Timothy Koob 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) and a Home Health Agency (HHA).
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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-13-2015
Opt-Out End Date: 04-13-2025
Eligible to Order and Refer? 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: No
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 53719 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* 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 | 5 | 3 | 8 | 1 | 0 | 4 | 0 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 2 | 0 | 8 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 2 + 0 + 8 + 0 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1538104088 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073555850 | TROY A ALTON DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 5801 RESEARCH PARK BLVD STE 110 MADISON, WI 53719 (608) 274-0770 |
| 1841235843 | GREGORY G STRONCEK DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 5801 RESEARCH PARK BLVD STE 110 MADISON, WI 53719 (608) 274-0770 |
| 1497791644 | SCOTT A HOYER DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 5801 RESEARCH PARK BLVD STE 110 MADISON, WI 53719 (608) 274-7711 |
| 1740216712 | CHRISTOPHER J BACSIK DMD Individual | Dentist (Oral and Maxillofacial Surgery) | 5801 RESEARCH PARK BLVD STE 110 MADISON, WI 53719 (608) 274-0770 |
| 1568499101 | PATRICK J LORGE DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 5801 RESEARCH PARK BLVD STE 110 MADISON, WI 53719 (608) 274-0770 |
| 1669474508 | BRENDA L CASEY MD Individual | Obstetrics & Gynecology | 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719 (608) 729-6300 |
| 1487023297 | SHARE THE HEALTH FREE GYNECOLOGY CLINIC, INC. Organization | Obstetrics & Gynecology (Gynecology) | 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719 (608) 729-6395 |
| 1669738233 | SHEFAALI SHARMA M.D. Individual | Obstetrics & Gynecology | 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719 (608) 729-6300 |
| 1679886493 | PATRICIA D THORNEWELL PHARMD Individual | Pharmacist | 5801 RESEARCH PARK BLVD MADISON, WI 53719 (608) 800-6678 |
| 1144261199 | MADISON ORAL & MAXILLOFACIAL SURGEONS SC Organization | Dentist (Oral and Maxillofacial Surgery) | 5801 RESEARCH PARK BLVD STE 110 MADISON, WI 53719 (608) 274-7711 |
| 1336104421 | DR. KARLA JEAN DICKMEYER M.D. Individual | Obstetrics & Gynecology | 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719 (608) 729-6300 |
| 1437111036 | DR. MARY L STOFFEL M.D. Individual | Obstetrics & Gynecology (Gynecology) | 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719 (608) 729-6300 |
| 1578990354 | STEPHANIE BRASSER APNP Individual | Nurse Practitioner (Adult Health) | 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719 (608) 729-6300 |
| 1619296514 | SARAH L YANKE M.D. Individual | Obstetrics & Gynecology | 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719 (608) 729-6300 |
| 1548237241 | ERIN M SCHOENECKER MD Individual | Obstetrics & Gynecology | 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719 (608) 729-6300 |
| 1174851851 | MADISON WOMEN'S HEALTH, LLP Organization | Obstetrics & Gynecology | 5801 RESEARCH PARK BLVD SUITE 400 MADISON, WI 53719 (608) 729-6300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538104088, enumerated in the NPI registry as an "individual" on June 18, 2006
The provider is located at 5801 Research Park Blvd Ste 110 Madison, Wi 53719 and the phone number is (608) 274-0770
The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Dean Health Plan, Delta Dental of Wisconsin, Inc.,. 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) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on April 13, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 13, 2025.
This NPI record was last updated on June 18, 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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