DR. TIMOTHY STEPHEN LISHNAK (M.D.) – Family Medicine Physician, NPI 1174725303

DR. TIMOTHY STEPHEN LISHNAK (M.D.) is a healthcare provider. based in Farmington, Connecticut. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 042.0012118 (VT). The NPI Number for DR. TIMOTHY STEPHEN LISHNAK (M.D.) is 1174725303

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY STEPHEN LISHNAK (M.D.)
NPI
1174725303
Phone
(860) 679-4477
Address
263 FARMINGTON AVE
Enumeration Date
1 June 2007
Last Update Date
1 July 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8607144212
Graduation Year
2004 (22 years ago)
PAC ID
8426121740
Group Practice PAC ID
9032016134
Professional Enrollment ID
I20080721000284
Address ID
CT061051207HA99XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

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Provider Addresses for DR. TIMOTHY STEPHEN LISHNAK (M.D.)

  • University of Connecticut Health Center, 263, Farmington Avenue, Farmington, Hartford County, Connecticut, 06030, United States

    FARMINGTON, CT 060300001

    Phone: (860) 679-4477

    Fax: (860) 679-8770

    Mailing address matches the actual address.

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: 2011-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080721000284IFamily PracticeCTTBD
I20110303000601IFamily PracticeVTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3728$0
99213Established patient office or other outpatient visit, 20-29 minutes2116$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1615$0
G0008Administration of influenza virus vaccine1615$0
View full utilization report →

Insurance plans in this area (ZIP 06030)

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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: 9032016134View full group profile
NameSpecialtyState
Family PracticeCT
-CT
-CT
Family PracticeCT
Family PracticeCT
Family PracticeCT
Family PracticeCT
Family PracticeCT
Nurse PractitionerCT
Family PracticeCT

Reviews

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Frequently asked questions

Where can patients find DR. TIMOTHY STEPHEN LISHNAK (M.D.)'s NPI?
You can confirm DR. TIMOTHY STEPHEN LISHNAK (M.D.) with NPI 1174725303; it appears in the national provider directory.
Is DR. TIMOTHY STEPHEN LISHNAK (M.D.)'s NPI currently valid?
The extract we use shows DR. TIMOTHY STEPHEN LISHNAK (M.D.) as active.
Can you summarize DR. TIMOTHY STEPHEN LISHNAK (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. TIMOTHY STEPHEN LISHNAK (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TIMOTHY STEPHEN LISHNAK (M.D.)?
The page summarizes Farmington, Connecticut for DR. TIMOTHY STEPHEN LISHNAK (M.D.); expand the address list for detail.
What if Farmington, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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