TIMOTHY J THOMPSON (MD) – Family Medicine Physician, NPI 1689781791

TIMOTHY J THOMPSON (MD) is a healthcare provider. based in Lake geneva, Wisconsin. specializing in INTERNAL MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 40642-20 (WI). The NPI Number for TIMOTHY J THOMPSON (MD) is 1689781791

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY J THOMPSON (MD)
NPI
1689781791
Phone
(262) 245-0535
Address
N2950 State Road 67
Enumeration Date
24 August 2006
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
2622450535
Graduation Year
1991 (35 years ago)
PAC ID
8224122692
Group Practice PAC ID
7416860440
Professional Enrollment ID
I20101202001195
Address ID
WI531472655LAN2950RDXX319
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

2,939 INTERNAL MEDICINE in WI

Provider Addresses for TIMOTHY J THOMPSON (MD)

  • N2950 State Road 67

    Lake Geneva, WI 531472655

    Phone: (262) 245-0535

    Fax: (262) 245-2248

    Type: Location

  • 600 NW 11th St Ste E37

    Hermiston, OR 978388604

    Phone: (541) 567-5305

    Fax: (541) 667-3487

    Type: Location

  • 620 NW 11TH ST STE M201

    HERMISTON, OR 978386941

    Phone: (541) 289-4118

    Fax: (541) 667-3484

    Type: Mailing

  • N2950 STATE ROAD 67

    LAKE GENEVA, WI 531472655

    Phone: (262) 245-0535

    Fax: (262) 245-2248

    Type: Location

  • 600 NW 11TH ST STE E37

    HERMISTON, OR 978388604

    Phone: (541) 567-5305

    Fax: (541) 667-3487

    Type: Location

  • 102 WOODMONT BLVD STE 600

    NASHVILLE, TN 372055250

    Phone: (888) 987-1151

    Type: Mailing

  • 7450 W OKLAHOMA AVE

    WEST ALLIS, WI 532192860

    Phone: (414) 414-8601

    Fax: (888) 355-7019

    Type: Location

  • 705, South University Avenue, Beaver Dam, Town of Beaver Dam, Dodge County, Wisconsin, 53916, United States

    SUITE 500

    BEAVER DAM, WI 539163053

    Phone: (920) 885-8586

    Fax: (920) 885-8788

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,110.

Total Amount is formed as General ($1,110) + Research ($0) + Ownership ($0) = $1,110.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($199).

Total Amount

$1,110

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

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: 2020-03-05

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
I20101202001195IInternal MedicineWITBD
I20200305001070IInternal MedicineORTBD

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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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: 7416860440View full group profile

Reviews

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Frequently asked questions

Is there an official ID for TIMOTHY J THOMPSON (MD) in U.S. healthcare records?
The official identifier for TIMOTHY J THOMPSON (MD) is NPI 1689781791.
Is TIMOTHY J THOMPSON (MD) shown as active in public data?
Registry records indicate TIMOTHY J THOMPSON (MD) maintains an active NPI.
How would a patient describe TIMOTHY J THOMPSON (MD)'s focus?
For TIMOTHY J THOMPSON (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is TIMOTHY J THOMPSON (MD) located near Lake Geneva?
TIMOTHY J THOMPSON (MD) currently maps to Lake Geneva, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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