TIMOTHY STAUDTE (D.O.) – Obstetrics & Gynecology Physician, NPI 1114990660

TIMOTHY STAUDTE (D.O.) is a healthcare provider. based in Fort madison, Iowa. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 3565 (IA). The NPI Number for TIMOTHY STAUDTE (D.O.) is 1114990660

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY STAUDTE (D.O.)
NPI
1114990660
Phone
(319) 376-2134
Address
5409 AVENUE O
Enumeration Date
7 February 2006
Last Update Date
1 August 2007

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
3193762134
Graduation Year
1994 (32 years ago)
PAC ID
5193715597
Group Practice PAC ID
3870496417
Professional Enrollment ID
I20040517001130
Address ID
IA526279611FO5445XOXXX300
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

357 OBSTETRICS/GYNECOLOGY in IA

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Provider Addresses for TIMOTHY STAUDTE (D.O.)

  • Fort Madison Community Hospital Physician & Professional Offices, 5409, Avenue O, Fort Madison, Lee County, Iowa, 52627, United States

    FORT MADISON, IA 526279601

    Phone: (319) 376-2134

    Fax: (319) 376-2188

    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: 2004-05-17

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
I20040517001130IObstetrics/GynecologyIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2816$0
99214Established patient office or other outpatient visit, 30-39 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 52627)

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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: 3870496417View full group profile
NameSpecialtyState
P S Y C H I A T R YIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
Family PracticeIA
Certified Registered Nurse Anesthetist (Crna)IA
Physician AssistantIA
Family PracticeIA
Nurse PractitionerIA
Nurse PractitionerIL
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

Is there an official ID for TIMOTHY STAUDTE (D.O.) in U.S. healthcare records?
The official identifier for TIMOTHY STAUDTE (D.O.) is NPI 1114990660.
Is TIMOTHY STAUDTE (D.O.) still an active registrant?
TIMOTHY STAUDTE (D.O.) carries an active NPI according to the public dataset.
What expertise is attributed to TIMOTHY STAUDTE (D.O.)?
TIMOTHY STAUDTE (D.O.)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Iowa is TIMOTHY STAUDTE (D.O.) registered?
Use Fort Madison, Iowa as the headline location for TIMOTHY STAUDTE (D.O.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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