DR. TIMOTHY C HOLLISTER (MD) – Radiation Oncology Physician, NPI 1669528428

DR. TIMOTHY C HOLLISTER (MD) is a healthcare provider. based in Wilmette, Illinois. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 036-104662 (IL). The NPI Number for DR. TIMOTHY C HOLLISTER (MD) is 1669528428

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY C HOLLISTER (MD)
NPI
1669528428
Phone
(847) 512-1849
Address
3201 OLD GLENVIEW RD STE 100
Enumeration Date
26 January 2007
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
8476736505
Graduation Year
1996 (30 years ago)
PAC ID
1254403322
Group Practice PAC ID
7214107069
Professional Enrollment ID
I20080707000327
Address ID
IL600912964WI3201XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

312 RADIATION ONCOLOGY in IL

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Provider Addresses for DR. TIMOTHY C HOLLISTER (MD)

  • Old Glenview Road, Wilmette, New Trier Township, Cook County, Illinois, 60091, United States

    WILMETTE, IL 600912964

    Phone: (847) 512-1849

    Fax: (847) 512-1850

    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: 2008-07-07

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
I20080707000327IRadiation OncologyILTBD

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
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session1,16034$0
77014Ct guidance for insertion of radiation therapy fields1,12033$0
77300Calculation of radiation therapy dose51437$0
77336Continuing radiation therapy consultation per week27040$0
77427Radiation treatment management, 5 treatment sessions21940$0
View full utilization report →

Insurance plans in this area (ZIP 60091)

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Provider's Procedures

DR. TIMOTHY C HOLLISTER (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYIL77427Radiation treatment management, 5 treatments38060

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: 7214107069View full group profile

Reviews

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Frequently asked questions

Can I verify DR. TIMOTHY C HOLLISTER (MD) with an NPI only?
You can start verification with NPI 1669528428 for DR. TIMOTHY C HOLLISTER (MD), then check state licensing separately.
Does the file indicate DR. TIMOTHY C HOLLISTER (MD) is practicing under active NPI?
Directory data currently reports DR. TIMOTHY C HOLLISTER (MD) as active.
What is DR. TIMOTHY C HOLLISTER (MD)'s specialty?
The listing groups DR. TIMOTHY C HOLLISTER (MD) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Does DR. TIMOTHY C HOLLISTER (MD) list a practice location?
Patients near Wilmette, Illinois may find DR. TIMOTHY C HOLLISTER (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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