DR. TIMOTHY R. ISAKSON (MD) – Obstetrics & Gynecology Physician, NPI 1487790168
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
928 OBSTETRICS/GYNECOLOGY in MO
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Provider Addresses for DR. TIMOTHY R. ISAKSON (MD)
1050, West 10th Street, Rolla, Phelps County, Missouri, 65409, United States
ROLLA, MO 65401
Phone: (573) 426-2229
Fax: (573) 426-4914
Type: Location
1000 E Primrose St Ste 210
Springfield, MO 658075154
Phone: (417) 269-6850
Type: Location
1000 E Primrose St Ste 400
Springfield, MO 658075179
Phone: (000) 000-0000
Type: Location
1000 E Primrose St Ste 270
Springfield, MO 658075177
Phone: (417) 882-6900
Type: Location
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: 2021-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040714001347 | I | Obstetrics/Gynecology | MO | TBD |
| I20210802003062 | I | Obstetrics/Gynecology | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| - | KS | |
| Certified Nurse Midwife (Cnm) | SC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO |
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