TIMOTHY C GOERTZEN (MD) – Vascular & Interventional Radiology Physician, NPI 1821076068

TIMOTHY C GOERTZEN (MD) is a healthcare provider. based in Saint paul, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 43154 (MN). The NPI Number for TIMOTHY C GOERTZEN (MD) is 1821076068

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY C GOERTZEN (MD)
NPI
1821076068
Phone
(651) 292-2009
Address
166 4TH ST E
Enumeration Date
6 January 2006
Last Update Date
12 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512922000
Graduation Year
1986 (40 years ago)
PAC ID
3577477256
Group Practice PAC ID
4486568482
Professional Enrollment ID
I20080602000518
Address ID
MN561369598HE503XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for TIMOTHY C GOERTZEN (MD)

  • 166, East 4th Street, Downtown, Saint Paul, Ramsey County, Minnesota, 55101, United States

    SAINT PAUL, MN 551011421

    Phone: (651) 292-2009

    Fax: (651) 292-2178

    Type: Mailing

  • 2355 HIGHWAY 36 W STE 100

    ROSEVILLE, MN 551133905

    Phone: (651) 292-2000

    Fax: (651) 292-2178

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $1,159.

Total Amount is formed as General ($1,159) + Research ($0) + Ownership ($0) = $1,159.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Inari Medical, Inc. ($1,019).

Total Amount

$1,159

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2022-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20080602000518IDiagnostic RadiologyMNTBD
I20110901000308IDiagnostic RadiologyWITBD
I20220831001763IDiagnostic RadiologyNDTBD

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes197178$0
93880Ultrasound of both sides of head and neck blood flow120119$0
76937Ultrasonic guidance for blood vessel access10499$0
77001Fluoroscopic guidance for insertion or removal of central vein access device7472$0
93922Ultrasound study of arm and leg arteries5352$0
View full utilization report →

Insurance plans in this area (ZIP 55101)

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Provider's Procedures

TIMOTHY C GOERTZEN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMN71010X-ray of chest, 1 view, front5651
DIAGNOSTIC RADIOLOGYMN77012Radiological supervision and interpretation of CT guidance for needle insertion1111
DIAGNOSTIC RADIOLOGYMN93922Ultrasound study of arteries of both arms and legs2929

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: 4486568482View full group profile

Reviews

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Frequently asked questions

Can I verify TIMOTHY C GOERTZEN (MD) with an NPI only?
You can start verification with NPI 1821076068 for TIMOTHY C GOERTZEN (MD), then check state licensing separately.
Does CMS list TIMOTHY C GOERTZEN (MD) as active?
Yes — TIMOTHY C GOERTZEN (MD) is active in the NPI listing used on this page.
What is TIMOTHY C GOERTZEN (MD) best known for clinically?
Directory data describes TIMOTHY C GOERTZEN (MD) with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does TIMOTHY C GOERTZEN (MD) serve?
TIMOTHY C GOERTZEN (MD)'s listing highlights Saint Paul, Minnesota; more addresses can appear in NPPES.
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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