DR. TIMOTHY RAYMOND NIEDZIELAK (DO) – Orthopaedic Surgery Physician, NPI 1972028421
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,265 ORTHOPEDIC SURGERY in IL
Provider Addresses for DR. TIMOTHY RAYMOND NIEDZIELAK (DO)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 611142300
Phone: (815) 971-7000
Fax: (815) 968-7830
Type: Location
1100 Virginia Ave
Columbia, MO 652120001
Phone: (573) 882-2663
Fax: (573) 882-1760
Type: Location
Broward Health Medical Center, 1600, South Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States
FORT LAUDERDALE, FL 333162510
Phone:
Type: Mailing
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
1100 VIRGINIA AVE
COLUMBIA, MO 652120001
Phone: (573) 882-2663
Fax: (573) 882-1760
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $12,591.
Total Amount is formed as General ($12,591) + Research ($0) + Ownership ($0) = $12,591.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Arthrex, Inc. ($10,899).
Total Amount
$12,591
General + Research + Ownership
Payments
28
Total payment records
General Amount
$12,591
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $10,899 |
| Stryker Corporation | $1,171 |
| Zimmer Biomet Holdings, Inc. | $136 |
| DePuy Synthes Sales Inc. | $128 |
| Elite Orthopedics, LLC | $122 |
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: 2025-12-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220829002478 | I | Orthopedic Surgery | MO | TBD |
| I20230919000937 | I | Orthopedic Surgery | IL | TBD |
| I20251224001424 | I | Orthopedic Surgery | SD | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 26 | 26 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 61114)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | SC | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | SD | |
| N E U R O S U R G E R Y | CO | |
| Orthopedic Surgery | MD | |
| Physician Assistant | IL | |
| Nurse Practitioner | CO | |
| N E U R O S U R G E R Y | NY | |
| Physician Assistant | IL | |
| Orthopedic Surgery, Hand Surgery, Orthopedic Surgery | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.