TIMOTHY JOSEPH TOBOLIC (M.D.) – Family Medicine Physician, NPI 1013940584

TIMOTHY JOSEPH TOBOLIC (M.D.) is a healthcare provider. based in Byron center, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. TT038030 (MI). The NPI Number for TIMOTHY JOSEPH TOBOLIC (M.D.) is 1013940584

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY JOSEPH TOBOLIC (M.D.)
NPI
1013940584
Phone
Not provided
Address
7740 BYRON CENTER AVE SW
Enumeration Date
8 July 2006
Last Update Date
3 May 2011

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6162175100
Graduation Year
1976 (50 years ago)
PAC ID
3274681952
Group Practice PAC ID
3274720057
Professional Enrollment ID
I20090507000245
Address ID
MI493156929BY7740XSWXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for TIMOTHY JOSEPH TOBOLIC (M.D.)

  • 7740, Byron Center Avenue Southwest, Byron Center, Byron Township, Kent County, Michigan, 49315, United States

    BYRON CENTER, MI 493156928

    Phone:

    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 7 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($69).

Total Amount

$118

General + Research + Ownership

Payments

7

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2009-05-07

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
I20090507000245IFamily PracticeMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7641$0
36415Insertion of needle into vein for collection of blood sample7456$0
G0442Annual alcohol misuse screening, 5 to 15 minutes6060$0
G0444Annual depression screening, 5 to 15 minutes6060$0
99213Established patient office or other outpatient visit, 20-29 minutes5839$0
View full utilization report →

Insurance plans in this area (ZIP 49315)

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Reviews

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Frequently asked questions

Can I verify TIMOTHY JOSEPH TOBOLIC (M.D.) with an NPI only?
You can start verification with NPI 1013940584 for TIMOTHY JOSEPH TOBOLIC (M.D.), then check state licensing separately.
Is TIMOTHY JOSEPH TOBOLIC (M.D.) listed as active for patients and plans?
The listing shows TIMOTHY JOSEPH TOBOLIC (M.D.) as active in the NPI system.
What is TIMOTHY JOSEPH TOBOLIC (M.D.)'s specialty?
The listing groups TIMOTHY JOSEPH TOBOLIC (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does TIMOTHY JOSEPH TOBOLIC (M.D.) list a practice location?
Patients near Byron Center, Michigan may find TIMOTHY JOSEPH TOBOLIC (M.D.) in results; validate coverage separately.
Is the information about TIMOTHY JOSEPH TOBOLIC (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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