MR. TIMOTHY J VANDERJAGT (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1780876540
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
119 PATHOLOGY in NM
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Provider Addresses for MR. TIMOTHY J VANDERJAGT (M.D.)
465, Saint Michaels Drive, Santa Fe, Santa Fe County, New Mexico, 87505, United States
SUITE 115
SANTA FE, NM 875057670
Phone: (505) 986-8620
Fax: (505) 820-2461
Type: Mailing
Christus Saint Vincent Regional Medical Center, 455, Saint Michaels Drive, Santa Fe, Santa Fe County, New Mexico, 87505, United States
SANTA FE, NM 875057601
Phone: (505) 820-5274
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2007-12-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071219000045 | I | Pathology | NM | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,292 | 862 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 498 | 118 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 258 | 231 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 168 | 93 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 126 | 40 | $0 |
Insurance plans in this area (ZIP 87505)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | NM | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 104 | 102 |
| PATHOLOGY | NM | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 42 | 32 |
| PATHOLOGY | NM | 88342 | Tissue or cell analysis by immunologic technique | 82 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | WV | |
| P A T H O L O G Y | NM | |
| - | AL | |
| P A T H O L O G Y | NM |
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