DR. TIMOTHY EUGENE DOERR (M.D.) – Orthopaedic Surgery Physician, NPI 1083663868

DR. TIMOTHY EUGENE DOERR (M.D.) is a healthcare provider. based in Boise, Idaho. specializing in Orthopaedic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. M7259 (ID). The NPI Number for DR. TIMOTHY EUGENE DOERR (M.D.) is 1083663868

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY EUGENE DOERR (M.D.)
NPI
1083663868
Phone
(208) 321-4790
Address
8854 W EMERALD ST
Enumeration Date
9 May 2006
Last Update Date
18 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
2083214790
Graduation Year
1991 (35 years ago)
PAC ID
0749239382
Group Practice PAC ID
9133178767
Professional Enrollment ID
I20050124000408
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

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Provider Addresses for DR. TIMOTHY EUGENE DOERR (M.D.)

  • Emerald Street, Boise Junction, Boise, Ada County, Idaho, 83704, United States

    STE 140

    BOISE, ID 837044845

    Phone: (208) 321-4790

    Fax: (208) 321-4836

    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: 2005-01-24

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
I20050124000408IOrthopedic SurgeryIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83704)

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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: 9133178767View full group profile
NameSpecialtyState
Orthopedic SurgeryID
Orthopedic SurgeryID
-ID
Physician AssistantOR
-OR
General SurgeryID
U R O L O G YIN
General SurgeryID
General SurgeryID

Reviews

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Frequently asked questions

How do I look up DR. TIMOTHY EUGENE DOERR (M.D.) by NPI?
Use NPI 1083663868 when you need to reference DR. TIMOTHY EUGENE DOERR (M.D.) in forms, claims, or directories.
Is DR. TIMOTHY EUGENE DOERR (M.D.) active in the national directory?
DR. TIMOTHY EUGENE DOERR (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. TIMOTHY EUGENE DOERR (M.D.)?
The page reflects Orthopaedic Surgery Physician for DR. TIMOTHY EUGENE DOERR (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TIMOTHY EUGENE DOERR (M.D.)?
The page summarizes Boise, Idaho for DR. TIMOTHY EUGENE DOERR (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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