DR. TIMOTHY WILLIAM JOHNSON D.D.S.
NPI 1760644801
Dentist in Webster, WI
NPI Status: Active since June 30, 2008
Contact Information
4404 STATE ROAD 70
WEBSTER, WI
ZIP 54893
Phone: (715) 349-8554
- Individual
- Male
- Years of Experience 18
- Dentist
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About TIMOTHY JOHNSON
This page provides the complete NPI Profile along with additional information for Timothy Johnson, a provider established in Webster, Wisconsin with a medical specialization in Dentist and more than 18 years of experience. He graduated from University Of Minnesota School Of Dentistry in 2008. The healthcare provider is registered in the NPI registry with number 1760644801 assigned on June 2008. The practitioner's primary taxonomy code is 122300000X with license number 6271-15 (WI). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1760644801
- Provider Name
- DR. TIMOTHY WILLIAM JOHNSON D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4404 STATE ROAD 70 WEBSTER, WI 54893
- Location Phone
- (715) 349-8554
- Mailing Address
- 4404 STATE ROAD 70 WEBSTER, WI 54893
- Mailing Phone
- (715) 349-8554
- Medical School Name
- UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
- Graduation Year
- 2008
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-30-2008
- Last Update Date
- 05-30-2012
- Code Navigator
A dentist like Timothy Johnson 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.
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
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 6271-15
- License State
- WI
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- 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
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Timothy Johnson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Timothy Johnson 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
PECOS PAC ID: 9739478108
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250520001512
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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 54893 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.
Reviews for DR. TIMOTHY WILLIAM JOHNSON D.D.S.
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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 | 7 | 6 | 0 | 6 | 4 | 4 | 8 | 0 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 12 | 0 | 12 | 4 | 8 | 8 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 2 + 0 + 1 + 2 + 4 + 8 + 8 + 0 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1760644801 is valid because the calculated check digit 1 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 |
---|---|---|---|
1750349239 | REY R PALOP M.D. Individual | Family Medicine | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1861414039 | DR. TIN-CHEUNG HO MD Individual | Family Medicine | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8557 |
1164515367 | MS. JENNIFER LYNNE BALDINI RD,CD Individual | Dietitian, Registered | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1700979630 | MS. PAMELA JO NICHOLS R.N. Individual | Registered Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1225121288 | MRS. PATTI MATAXEN MSN,RN Individual | Registered Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1811080740 | MRS. DAWN RENEE DURAND R.N. Individual | Registered Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1487723763 | SHELLEY LYNN HAMMES CADC III Individual | Counselor (Addiction (Substance Use Disorder)) | 4404 STATE ROAD 70 WEBSTER, WI 54893 (877) 455-1901 |
1174663363 | MR. DAVID EDWARD DETIENNE RPH Individual | Pharmacist | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1821138066 | MRS. KATHLEEN ANN DITTMAR LPN Individual | Licensed Practical Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1225179427 | MRS. ERICA ANN DORIOTT LPN Individual | Licensed Practical Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1053522003 | DR. JODINE CATHERINE ANDERSON D.D.S. Individual | Dentist (General Practice) | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1245411107 | JULIA A STEINER R.N. Individual | Registered Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1073778858 | MR. JOSEPH WILIAM TEMBREULL DDS Individual | Dentist | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1033365747 | MELODY LYNN BASSETT R.N. Individual | Registered Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1972749299 | MELISSA K GRIMSBY R.N. Individual | Registered Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1861710691 | LISA R PERRY RN Individual | Registered Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1730493149 | MRS. KATIE ARLENE BELISLE L.P.N. Individual | Licensed Practical Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1033414693 | MR. JOSHUA COSMO ROBINSON R.N. Individual | Registered Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1235477100 | BRENDA LEE RACHNER LPN Individual | Licensed Practical Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
1639418270 | DONA LUNDMARK RN Individual | Registered Nurse | 4404 STATE ROAD 70 WEBSTER, WI 54893 (715) 349-8554 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760644801, enumerated in the NPI registry as an "individual" on June 30, 2008
The provider is located at 4404 State Road 70 Webster, Wi 54893 and the phone number is (715) 349-8554
The provider's speciality is Dentist with taxonomy code 122300000X
The provider has more than 18 years of experience. He graduated from University Of Minnesota School Of Dentistry in 2008.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross 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) 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.
This NPI record was last updated on June 30, 2008. 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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