DR. TIMOTHY W BOERSMA (DO) – General Practice Physician, NPI 1942244926
General Practice Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for DR. TIMOTHY W BOERSMA (DO)
801 HIGHWAY 37S
MOUNT VERNON, TX 754576597
Phone: (903) 577-2273
Fax: (903) 577-6245
Type: Location
3141 Centennial Blvd
Colorado Springs, CO 809074094
Phone: (719) 453-8390
Type: Location
5555 E Arapahoe Rd
Centennial, CO 801222312
Phone: (303) 338-4545
Type: Location
PFC Floyd K. Lindstrom Outpatient Clinic at Colorado Springs, 3141, Centennial Boulevard, Colorado Springs, El Paso County, Colorado, 80920, United States
COLORADO SPRINGS, CO 809074094
Phone: (719) 453-8390
Type: Mailing
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND, CO 805389071
Phone: (970) 624-2417
Fax: (970) 652-2927
Type: Mailing
175 S UNION BLVD STE 350
COLORADO SPRINGS, CO 809103146
Phone: (719) 633-5515
Fax: (719) 365-1307
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: 2024-08-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060103000669 | I | Family Practice | TX | TBD |
| I20190618001761 | I | General Practice | CO | TBD |
| I20240816002932 | I | Family Practice | WY | 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 75457)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Family Practice | TX | |
| Internal Medicine, Interventional Cardiology | TX | |
| Family Practice | TX | |
| N E U R O S U R G E R Y | TX | |
| H O S P I T A L I S T | TX | |
| U R O L O G Y | AL | |
| Diagnostic Radiology | TX | |
| Medical Oncology | MO |
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