TIMOTHY DEAN BJELLAND (D.O.) – Family Medicine Physician, NPI 1811984305

TIMOTHY DEAN BJELLAND (D.O.) is a healthcare provider. based in Mauston, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 31519 (WI). The NPI Number for TIMOTHY DEAN BJELLAND (D.O.) is 1811984305

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY DEAN BJELLAND (D.O.)
NPI
1811984305
Phone
Not provided
Address
1040 DIVISION ST
Enumeration Date
30 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082548888
Graduation Year
1986 (40 years ago)
PAC ID
2567351034
Group Practice PAC ID
8527971399
Professional Enrollment ID
I20100215000344
Address ID
WI539658293WI28XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

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Provider Addresses for TIMOTHY DEAN BJELLAND (D.O.)

  • 1040, Division Street, Mauston, Juneau County, Wisconsin, 53948, United States

    MAUSTON, WI 539481931

    Phone:

    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: 2010-02-15

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
I20100215000344IFamily 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
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician7272$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician7272$0
View full utilization report →

Insurance plans in this area (ZIP 53948)

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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: 8527971399View full group profile
NameSpecialtyState
-WI
Physician AssistantWI
Certified Registered Nurse Anesthetist (Crna)WI
Orthopedic SurgeryWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWI
General SurgeryWI
-WI
Orthopedic SurgeryWI
Physician AssistantWI

Reviews

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Frequently asked questions

What is the registry number for TIMOTHY DEAN BJELLAND (D.O.)?
The registry entry for TIMOTHY DEAN BJELLAND (D.O.) shows NPI 1811984305.
Is TIMOTHY DEAN BJELLAND (D.O.)'s NPI status active today?
Active status means TIMOTHY DEAN BJELLAND (D.O.)'s NPI record is not deactivated in the public file.
What type of care does TIMOTHY DEAN BJELLAND (D.O.) provide?
TIMOTHY DEAN BJELLAND (D.O.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is TIMOTHY DEAN BJELLAND (D.O.) tied to Mauston, Wisconsin?
If you are local to Mauston, Wisconsin, TIMOTHY DEAN BJELLAND (D.O.) may be relevant to your search.
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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