DR. TIMOTHY W. HUISKEN (MD) – Surgery Physician, NPI 1013008366

DR. TIMOTHY W. HUISKEN (MD) is a healthcare provider. based in Jbsa lackland, Texas. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4321 (SD). The NPI Number for DR. TIMOTHY W. HUISKEN (MD) is 1013008366

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY W. HUISKEN (MD)
NPI
1013008366
Phone
(210) 292-6225
Address
1100 Wilford Hall Loop Bldg 4554
Enumeration Date
28 September 2006
Last Update Date
7 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
5073898509
Graduation Year
1991 (35 years ago)
PAC ID
4789822404
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20190403001786
Address ID
MN560015066MA1230XSTXX400

Contacts

Secure Messaging
timothyhuisken@mklt.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

2,646 GENERAL SURGERY in TX

Provider Addresses for DR. TIMOTHY W. HUISKEN (MD)

  • 1100 Wilford Hall Loop Bldg 4554

    Jbsa Lackland, TX 782365638

    Phone: (210) 292-6225

    Type: Location

  • 3551 ROGER BROOKE DR

    ATTN: MCHE-ZQQ

    JBSA Ft Sam Houston, TX 782344504

    Phone: (210) 916-2338

    Type: Location

  • Mankato Clinic, 1230, East Main Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States

    MANKATO, MN 560015066

    Phone: (507) 625-1811

    Type: Mailing

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: 2019-04-03

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
I20190403001786IGeneral 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
99204New patient office or other outpatient visit, 45-59 minutes2121$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 78236)

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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: 5597677955View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Diagnostic RadiologyCO
Physician AssistantMN
P O D I A T R YMN
-MN
-MN
General SurgeryMN
Diagnostic Radiology, Internal MedicineMN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. TIMOTHY W. HUISKEN (MD)'s NPI?
Yes. DR. TIMOTHY W. HUISKEN (MD) is listed with NPI 1013008366 in the public NPI dataset.
Can I rely on DR. TIMOTHY W. HUISKEN (MD) being an active provider?
As of the registry snapshot, DR. TIMOTHY W. HUISKEN (MD) is marked active.
What taxonomy line describes DR. TIMOTHY W. HUISKEN (MD)?
For research purposes, treat DR. TIMOTHY W. HUISKEN (MD) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. TIMOTHY W. HUISKEN (MD) list a practice location?
Patients near Jbsa Lackland, Texas may find DR. TIMOTHY W. HUISKEN (MD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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