DR. TIMOTHY THORMODSGARD (MD) – Surgery Physician, NPI 1063611770

DR. TIMOTHY THORMODSGARD (MD) is a healthcare provider. based in Waconia, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 54999 (MN). The NPI Number for DR. TIMOTHY THORMODSGARD (MD) is 1063611770

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY THORMODSGARD (MD)
NPI
1063611770
Phone
(952) 442-4461
Address
424 W HIGHWAY 5
Enumeration Date
12 July 2007
Last Update Date
25 April 2013

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9524424461
Graduation Year
2007 (19 years ago)
PAC ID
8426206467
Group Practice PAC ID
6002801453
Professional Enrollment ID
I20120917000077
Address ID
MN553871723WA424XX5XXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

730 GENERAL SURGERY in MN

Provider Addresses for DR. TIMOTHY THORMODSGARD (MD)

  • 424 W HIGHWAY 5

    WACONIA, MN 553871723

    Phone: (952) 442-4461

    Fax: (952) 442-5753

    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: 2012-09-17

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
I20120917000077IGeneral SurgeryMNTBD

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
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito2727$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2215$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2121$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1717$0
View full utilization report →

Insurance plans in this area (ZIP 55387)

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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: 6002801453View full group profile
NameSpecialtyState
Nurse PractitionerMN
Family PracticeID
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
-MN
Nurse PractitionerMN
Internal MedicineMN
Internal MedicineMN
Family PracticeMN
Family PracticeMN

Reviews

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Frequently asked questions

What is the registry number for DR. TIMOTHY THORMODSGARD (MD)?
The registry entry for DR. TIMOTHY THORMODSGARD (MD) shows NPI 1063611770.
Should I treat DR. TIMOTHY THORMODSGARD (MD) as an active provider?
Patients and plans typically see DR. TIMOTHY THORMODSGARD (MD) as active in the national extract.
How should patients interpret DR. TIMOTHY THORMODSGARD (MD)'s specialty?
The extract shows Surgery Physician for DR. TIMOTHY THORMODSGARD (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. TIMOTHY THORMODSGARD (MD) in Waconia, Minnesota?
For routing, start with Waconia, Minnesota for DR. TIMOTHY THORMODSGARD (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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