TIMOTHY P WOGAHN (MD) – Family Medicine Physician, NPI 1780696948

TIMOTHY P WOGAHN (MD) is a healthcare provider. based in Wisconsin rapids, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 39775 (WI). The NPI Number for TIMOTHY P WOGAHN (MD) is 1780696948

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY P WOGAHN (MD)
NPI
1780696948
Phone
(715) 423-0122
Address
2031 PEACH ST
Enumeration Date
13 August 2006
Last Update Date
4 December 2012

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
7154227750
Graduation Year
1995 (31 years ago)
PAC ID
5991796187
Group Practice PAC ID
4587658182
Professional Enrollment ID
I20051118000558
Address ID
WI544944714WI420XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,047 FAMILY PRACTICE in WI

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Provider Addresses for TIMOTHY P WOGAHN (MD)

  • Aspirus Doctors Clinic, 2031, Peach Street, Wisconsin Rapids, Town of Grand Rapids, Wood County, Wisconsin, 54494, United States

    WISCONSIN RAPIDS, WI 544945181

    Phone: (715) 423-0122

    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: 2005-11-18

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
I20051118000558IFamily PracticeWITBD

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
77063Screening 3d breast mammography3535$0
77067Screening mammography3535$0
71046X-ray of chest, 2 views1413$0
72110X-ray of lower and sacral spine, minimum of 4 views1111$0
View full utilization report →

Insurance plans in this area (ZIP 54494)

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Provider's Procedures

TIMOTHY P WOGAHN (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWI90670Pneumococcal vaccine for injection into muscle5050

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: 4587658182View full group profile

Reviews

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Frequently asked questions

Does TIMOTHY P WOGAHN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TIMOTHY P WOGAHN (MD) uses 1780696948.
Is TIMOTHY P WOGAHN (MD) listed as active for patients and plans?
The listing shows TIMOTHY P WOGAHN (MD) as active in the NPI system.
What is TIMOTHY P WOGAHN (MD)'s primary classification?
Family Medicine Physician is the headline specialty for TIMOTHY P WOGAHN (MD) here. Clinical services aligned with this taxonomy classification.
What area does TIMOTHY P WOGAHN (MD) serve?
TIMOTHY P WOGAHN (MD)'s listing highlights Wisconsin Rapids, Wisconsin; more addresses can appear in NPPES.
Why does TIMOTHY P WOGAHN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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