DR. TIMOTHY JOHN DALSASO (MD) – Diagnostic Radiology Physician, NPI 1497737639

DR. TIMOTHY JOHN DALSASO (MD) is a healthcare provider. based in Eureka, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 224783 (MA). The NPI Number for DR. TIMOTHY JOHN DALSASO (MD) is 1497737639

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY JOHN DALSASO (MD)
NPI
1497737639
Phone
(707) 442-7814
Address
PO BOX 6428
Enumeration Date
15 November 2005
Last Update Date
6 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7575942911
Graduation Year
2000 (26 years ago)
PAC ID
2567408826
Group Practice PAC ID
5991603573
Professional Enrollment ID
I20250919004352
Address ID
VA236011929NE500XXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for DR. TIMOTHY JOHN DALSASO (MD)

  • Eureka Post Office, 101, Thresher Drive, Eureka, Saint Louis County, Missouri, 63025, United States

    HUMBOLDT RADIOLOGY MEDICAL GROUP,INC.

    EUREKA, CA 955026428

    Phone: (707) 442-7814

    Fax: (707) 445-3710

    Type: Mailing

  • Saint Josephs Hospital, 2700, Dolbeer Street, Eureka, Humboldt County, California, 95501, United States

    ST. JOSEPH HOSPITAL

    EUREKA, CA 955014736

    Phone: (707) 442-7814

    Fax: (707) 445-3710

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250919004352IDiagnostic RadiologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view2,6531,595$0
70450Ct scan head or brain without contrast978823$0
71046X-ray of chest, 2 views965856$0
74177Ct scan of abdomen and pelvis with contrast658595$0
71275Ct scan of blood vessels of chest with contrast438410$0
View full utilization report →

Insurance plans in this area (ZIP 95502)

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Provider's Procedures

DR. TIMOTHY JOHN DALSASO (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views2723
DIAGNOSTIC RADIOLOGYCA74177CT scan of abdomen and pelvis with contrast198192
DIAGNOSTIC RADIOLOGYCA77012Radiological supervision and interpretation of CT guidance for needle insertion4039
DIAGNOSTIC RADIOLOGYCA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies159159
DIAGNOSTIC RADIOLOGYCA78815Nuclear medicine study with CT imaging skull base to mid-thigh202159

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991603573View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Physician AssistantVA
Diagnostic RadiologyNC
Diagnostic RadiologyVA
Diagnostic RadiologyMN
Diagnostic RadiologyNJ
Diagnostic RadiologyMI

Reviews

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Frequently asked questions

Does DR. TIMOTHY JOHN DALSASO (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. TIMOTHY JOHN DALSASO (MD) uses 1497737639.
Does the file indicate DR. TIMOTHY JOHN DALSASO (MD) is practicing under active NPI?
Directory data currently reports DR. TIMOTHY JOHN DALSASO (MD) as active.
What healthcare role does DR. TIMOTHY JOHN DALSASO (MD) hold?
Scheduling teams often label DR. TIMOTHY JOHN DALSASO (MD) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. TIMOTHY JOHN DALSASO (MD) list a practice location?
Patients near Eureka, California may find DR. TIMOTHY JOHN DALSASO (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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