TIMOTHY J MURRAY (MD) – Anesthesiology Physician, NPI 1104887470

TIMOTHY J MURRAY (MD) is a healthcare provider. based in Lake geneva, Wisconsin. specializing in ANESTHESIOLOGY, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 47374-020 (WI). The NPI Number for TIMOTHY J MURRAY (MD) is 1104887470

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J MURRAY (MD)
NPI
1104887470
Phone
(262) 245-0535
Address
N2950 STATE ROAD 67
Enumeration Date
28 March 2006
Last Update Date
22 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209292300
Graduation Year
1999 (27 years ago)
PAC ID
0648225961
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20050318000593
Address ID
WI549354560FO430XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,266 ANESTHESIOLOGY in WI

Provider Addresses for TIMOTHY J MURRAY (MD)

  • N2950 STATE ROAD 67

    LAKE GENEVA, WI 531472655

    Phone: (262) 245-0535

    Fax: (262) 245-2248

    Mailing address matches the actual address.

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: 2005-03-18

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
I20050318000593IAnesthesiologyWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53147)

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Provider's Procedures

TIMOTHY J MURRAY (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYWI00142Anesthesia for lens surgery1515

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: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI

Reviews

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Frequently asked questions

Where can patients find TIMOTHY J MURRAY (MD)'s NPI?
You can confirm TIMOTHY J MURRAY (MD) with NPI 1104887470; it appears in the national provider directory.
Is TIMOTHY J MURRAY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does TIMOTHY J MURRAY (MD) treat or focus on?
Patients typically see TIMOTHY J MURRAY (MD) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TIMOTHY J MURRAY (MD)?
The page summarizes Lake Geneva, Wisconsin for TIMOTHY J MURRAY (MD); expand the address list for detail.
How can I contact TIMOTHY J MURRAY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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