TIMOTHY P VANDERBILT (M.D.) – Orthopaedic Surgery Physician, NPI 1548403231

TIMOTHY P VANDERBILT (M.D.) is a healthcare provider. based in Madison, Wisconsin. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 55868-20 (WI). The NPI Number for TIMOTHY P VANDERBILT (M.D.) is 1548403231

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY P VANDERBILT (M.D.)
NPI
1548403231
Phone
(608) 252-8000
Address
1211 FISH HATCHERY RD
Enumeration Date
11 April 2009
Last Update Date
31 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082528000
Graduation Year
2009 (17 years ago)
PAC ID
4385877901
Group Practice PAC ID
7012827983
Professional Enrollment ID
I20210128000101
Address ID
WI537151909MA1211XRDXX400

Contacts

Secure Messaging
tvanderbilt387418@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:17State licenses:3Other namesUpdated within 12 months

252 ORTHOPEDIC SURGERY in NV

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Provider Addresses for TIMOTHY P VANDERBILT (M.D.)

  • 1211 FISH HATCHERY RD

    MADISON, WI 537151909

    Phone: (608) 252-8000

    Fax: (608) 288-6495

    Type: Mailing

  • Mike O'Callaghan Military Medical Center, 4700, Las Vegas Boulevard North, Clark County, Nevada, 89191, United States

    NELLIS AFB, NV 89191

    Phone: (702) 653-3041

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $263.

Total Amount is formed as General ($263) + Research ($0) + Ownership ($0) = $263.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($119).

Total Amount

$263

General + Research + Ownership

Payments

4

Total payment records

General Amount

$263

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-06-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210128000101IOrthopedic SurgeryWITBD
I20230601001518IOrthopedic SurgeryMTTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5858$0
99213Established patient office or other outpatient visit, 20-29 minutes4131$0
27245Treatment of broken neck of thigh bone with bone implant2928$0
27236Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement2121$0
27235Placement of stabilizing device for upper end of broken thigh bone1212$0
View full utilization report →

Insurance plans in this area (ZIP 53715)

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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: 7012827983View full group profile
NameSpecialtyState
U R O L O G YWA
-WI
O P T O M E T R YWI
N E U R O S U R G E R YNE
-WI
Physician AssistantWI
Family PracticeWI
Cardiovascular Disease (Cardiology)TX
-WI
Family PracticeWI

Reviews

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Frequently asked questions

What is the standard ID for TIMOTHY P VANDERBILT (M.D.) in the U.S.?
In the U.S., TIMOTHY P VANDERBILT (M.D.) is identified by NPI 1548403231.
Does the public listing show TIMOTHY P VANDERBILT (M.D.) as active?
TIMOTHY P VANDERBILT (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits TIMOTHY P VANDERBILT (M.D.)?
NPPES ties TIMOTHY P VANDERBILT (M.D.) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to TIMOTHY P VANDERBILT (M.D.)?
TIMOTHY P VANDERBILT (M.D.) shows a connection to Madison, Wisconsin in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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