DR. TIMOTHY JAMES VON FANGE (MD) – Sports Medicine (Family Medicine) Physician, NPI 1154461739

DR. TIMOTHY JAMES VON FANGE (MD) is a healthcare provider. based in Bloomington, Indiana. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 01068721A (IN). The NPI Number for DR. TIMOTHY JAMES VON FANGE (MD) is 1154461739

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY JAMES VON FANGE (MD)
NPI
1154461739
Phone
(812) 376-0700
Address
455 S Landmark Ave
Enumeration Date
6 February 2007
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8123760700
Graduation Year
2004 (22 years ago)
PAC ID
6103992235
Group Practice PAC ID
0446291181
Professional Enrollment ID
I20101112000848
Address ID
IN472034467CO2400XDRXX301

Contacts

Secure Messaging
tvonfange11803@edirect.crh.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness95
Years active:19State licenses:2Other names

2,861 FAMILY PRACTICE in IN

Provider Addresses for DR. TIMOTHY JAMES VON FANGE (MD)

  • 455 S Landmark Ave

    Bloomington, IN 474035004

    Phone: (812) 376-0700

    Fax: (812) 376-8625

    Type: Location

  • 747 E County Line Rd Ste J

    Greenwood, IN 461431082

    Phone: (812) 376-0700

    Fax: (812) 376-8625

    Type: Location

  • PO BOX 775383

    CHICAGO, IL 606775383

    Phone:

    Type: Mailing

  • 3201 MIDDLE DR

    COLUMBUS, IN 472034427

    Phone: (812) 372-8281

    Type: Location

  • 7951 SHOAL CREEK BLVD STE 300

    AUSTIN, TX 787577582

    Phone: (512) 584-8404

    Fax: (737) 377-0442

    Type: Mailing

  • 2400 NORTHPARK DR STE 10

    COLUMBUS, IN 472034467

    Phone: (812) 376-0700

    Fax: (812) 376-8625

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Bioventus LLC ($32).

Total Amount

$62

General + Research + Ownership

Payments

4

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-11-12

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
I20101112000848IFamily PracticeINTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg648118$0
99213Established patient office or other outpatient visit, 20-29 minutes182113$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance14696$0
99214Established patient office or other outpatient visit, 30-39 minutes7865$0
76942Ultrasonic guidance for needle placement3329$0
View full utilization report →

Insurance plans in this area (ZIP 47403)

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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: 0446291181View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationIN
Nurse PractitionerTX
Pain Management, AnesthesiologyIN
-IN
Physician AssistantTX

Reviews

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Frequently asked questions

How is DR. TIMOTHY JAMES VON FANGE (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. TIMOTHY JAMES VON FANGE (MD) with NPI 1154461739.
Does the file indicate DR. TIMOTHY JAMES VON FANGE (MD) is practicing under active NPI?
Directory data currently reports DR. TIMOTHY JAMES VON FANGE (MD) as active.
What healthcare role does DR. TIMOTHY JAMES VON FANGE (MD) hold?
Scheduling teams often label DR. TIMOTHY JAMES VON FANGE (MD) under Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. TIMOTHY JAMES VON FANGE (MD) on a map?
Expect Bloomington, Indiana as a primary anchor for DR. TIMOTHY JAMES VON FANGE (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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