DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP) – Chiropractor, NPI 1619976263

DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP) is a healthcare provider. based in Menomonee falls, Wisconsin. specializing in CHIROPRACTIC. They hold the professional credentials DC, FACO, CCSP. They hold a License No. 3243 (WI). The NPI Number for DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP) is 1619976263

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP)
NPI
1619976263
Phone
(262) 253-6779
Address
N96W18743 COUNTY LINE RD
Enumeration Date
17 July 2005
Last Update Date
23 April 2008

Doctor Profile

Medical School Name
NATIONAL COLLEGE OF CHIROPRACTIC
Secondary Phone
2622437300
Graduation Year
1990 (36 years ago)
PAC ID
7911001201
Group Practice PAC ID
5890604722
Professional Enrollment ID
I20070326000444
Address ID
WI530972416ME13111RDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,617 CHIROPRACTIC in WI

Provider Addresses for DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP)

  • N96W18743 COUNTY LINE RD

    SUITE E

    MENOMONEE FALLS, WI 530517100

    Phone: (262) 253-6779

    Fax: (262) 253-6849

    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: 2007-03-26

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
I20070326000444IChiropracticWITBD

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 53051)

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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: 5890604722View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP)?
NPI 1619976263 is assigned to DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP) under the national enumeration system.
Is DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP)?
The page reflects Chiropractor for DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP)?
The page summarizes Menomonee Falls, Wisconsin for DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP); expand the address list for detail.
Is DR. TIMOTHY LAWRENCE SMYKAL (DC, FACO, CCSP) a real provider?
This page reflects official NPPES data for NPI 1619976263. Always confirm identity and privileges with the practice and licensing boards.

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