TIMOTHY W NOVEROSKE (MD) – Vascular Surgery Physician, NPI 1285611442

TIMOTHY W NOVEROSKE (MD) is a healthcare provider. based in South bend, Indiana. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 01038790A (IN). The NPI Number for TIMOTHY W NOVEROSKE (MD) is 1285611442

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY W NOVEROSKE (MD)
NPI
1285611442
Phone
(574) 236-1888
Address
621 MEMORIAL DR
Enumeration Date
29 December 2005
Last Update Date
13 May 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
5742348161
Graduation Year
1984 (42 years ago)
PAC ID
4789680513
Group Practice PAC ID
3779577937
Professional Enrollment ID
I20091222000259
Address ID
IN465451469MI5215XPKWY400
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

729 GENERAL SURGERY in IN

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Provider Addresses for TIMOTHY W NOVEROSKE (MD)

  • Memorial Drive, South Bend, Pacific County, Washington, 98586, United States

    SOUTH BEND, IN 466011064

    Phone: (574) 236-1888

    Fax: (574) 236-1887

    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)

CMS reports 8 Open Payments records for all available years, with a total value of $447.

Total Amount is formed as General ($447) + Research ($0) + Ownership ($0) = $447.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Kerecis Limited ($305).

Total Amount

$447

General + Research + Ownership

Payments

8

Total payment records

General Amount

$447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2009-12-22

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
I20091222000259IGeneral SurgeryINTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less9617$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3715$0
99204New patient office or other outpatient visit, 45-59 minutes3131$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2826$0
36415Insertion of needle into vein for collection of blood sample1714$0
View full utilization report →

Insurance plans in this area (ZIP 46601)

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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: 3779577937View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
-IN
O B S T E T R I C S/ G Y N E C O L O G YIN
-IN
Family PracticeKY
Family PracticeIN
O P H T H A L M O L O G YIN
Physician AssistantIN
Family PracticeIN

Reviews

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Frequently asked questions

Does TIMOTHY W NOVEROSKE (MD) have a public NPI I can cite?
Public records show TIMOTHY W NOVEROSKE (MD) under NPI 1285611442.
Quick check: is TIMOTHY W NOVEROSKE (MD) active?
Public NPPES data shows TIMOTHY W NOVEROSKE (MD) with an active NPI status right now.
What type of care does TIMOTHY W NOVEROSKE (MD) provide?
TIMOTHY W NOVEROSKE (MD)'s profile centers on Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TIMOTHY W NOVEROSKE (MD)?
TIMOTHY W NOVEROSKE (MD) is associated with South Bend, Indiana in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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