TIMOTHY M GRANGAARD (M.D.) – Family Medicine Physician, NPI 1104905942

TIMOTHY M GRANGAARD (M.D.) is a healthcare provider. based in Waconia, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 32633 (MN). The NPI Number for TIMOTHY M GRANGAARD (M.D.) is 1104905942

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY M GRANGAARD (M.D.)
NPI
1104905942
Phone
(952) 442-4461
Address
424 W STATE HIGHWAY 5
Enumeration Date
3 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9524424461
Graduation Year
1988 (38 years ago)
PAC ID
4486649746
Group Practice PAC ID
6002801453
Professional Enrollment ID
I20050715000835
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

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Provider Addresses for TIMOTHY M GRANGAARD (M.D.)

  • State Highway 5, Waconia, Carver County, Minnesota, 55387, United States

    WACONIA, MN 553871723

    Phone: (952) 442-4461

    Fax: (952) 442-1213

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
36415Insertion of needle into vein for collection of blood sample223138$0
99214Established patient office or other outpatient visit, 30-39 minutes13394$0
99213Established patient office or other outpatient visit, 20-29 minutes126105$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8967$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8787$0
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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
General SurgeryMN
Nurse PractitionerMN
Internal MedicineMN
Internal MedicineMN
Family PracticeMN
Family PracticeMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for TIMOTHY M GRANGAARD (M.D.)?
TIMOTHY M GRANGAARD (M.D.) — NPI 1104905942 — is the standard way to identify this listing.
Can I rely on TIMOTHY M GRANGAARD (M.D.) being an active provider?
As of the registry snapshot, TIMOTHY M GRANGAARD (M.D.) is marked active.
What healthcare role does TIMOTHY M GRANGAARD (M.D.) hold?
Scheduling teams often label TIMOTHY M GRANGAARD (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is TIMOTHY M GRANGAARD (M.D.) based?
TIMOTHY M GRANGAARD (M.D.) is tied to Waconia, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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