TIMOTHY J GAVIN (M.D.) – Vascular Surgery Physician, NPI 1528004587

TIMOTHY J GAVIN (M.D.) is a healthcare provider. based in Saint paul, Minnesota. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 47505 (MN). The NPI Number for TIMOTHY J GAVIN (M.D.) is 1528004587

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J GAVIN (M.D.)
NPI
1528004587
Phone
(651) 232-2273
Address
1700 University Ave W Fl 6
Enumeration Date
20 June 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
8553247843
Graduation Year
1989 (37 years ago)
PAC ID
5092762187
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20050331000831
Address ID
MN551043727SA1700XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

122 VASCULAR SURGERY in MN

Provider Addresses for TIMOTHY J GAVIN (M.D.)

  • 1700 University Ave W Fl 6

    Saint Paul, MN 551043727

    Phone: (651) 232-2273

    Fax: (651) 232-4953

    Type: Location

  • 3400, West 66th Street, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE 350

    EDINA, MN 554352111

    Phone: (952) 832-0805

    Fax: (952) 832-5597

    Type: Mailing

  • France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55431, United States

    SUITE W440

    EDINA, MN 554352163

    Phone: (952) 927-7004

    Fax: (952) 927-5146

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,036.

Total Amount is formed as General ($1,036) + Research ($0) + Ownership ($0) = $1,036.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Medtronic, Inc. ($729).

Total Amount

$1,036

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,036

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2005-03-31

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
I20050331000831IVascular 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
99213Established patient office or other outpatient visit, 20-29 minutes6354$0
99214Established patient office or other outpatient visit, 30-39 minutes3027$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 55104)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What NPI should I save for TIMOTHY J GAVIN (M.D.)?
Save NPI 1528004587 if you need a stable reference for TIMOTHY J GAVIN (M.D.).
Is TIMOTHY J GAVIN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize TIMOTHY J GAVIN (M.D.)'s specialty in plain language?
Clinically, the directory lists TIMOTHY J GAVIN (M.D.) with Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place TIMOTHY J GAVIN (M.D.)?
The snapshot lists Saint Paul, Minnesota for TIMOTHY J GAVIN (M.D.); download NPPES for the complete set.
How can I contact TIMOTHY J GAVIN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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