TIMOTHY VAYDER (DO) – Emergency Medicine Physician, NPI 1942230123

TIMOTHY VAYDER (DO) is a healthcare provider. based in Stevens point, Wisconsin. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. 5101014334 (MI). The NPI Number for TIMOTHY VAYDER (DO) is 1942230123

Main info

Male
27 Years Of Experience
Name
TIMOTHY VAYDER (DO)
NPI
1942230123
Phone
(715) 346-5000
Address
900 ILLINOIS AVE
Enumeration Date
4 July 2006
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
7152366133
Graduation Year
1999 (27 years ago)
PAC ID
6406864610
Group Practice PAC ID
6103737820
Professional Enrollment ID
I20111005000864

Contacts

Secure Messaging
him@marshfieldclinichealthsystem.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

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Provider Addresses for TIMOTHY VAYDER (DO)

  • Ascension St. Michael's Hospital, 900, Illinois Avenue, Stevens Point, Portage County, Wisconsin, 54481, United States

    STEVENS POINT, WI 544813114

    Phone: (715) 346-5000

    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: 2011-10-05

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
I20111005000864IEmergency MedicineWITBD

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
99284Emergency department visit with moderate level of medical decision making4038$0
99285Emergency department visit with high level of medical decision making3231$0
99283Emergency department visit with low level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 54481)

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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: 6103737820View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineWI
-CA
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
-WI
Physician AssistantWI
Nurse PractitionerWI
Nurse PractitionerWI
P S Y C H I A T R YWI
-WI

Reviews

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Frequently asked questions

Where can patients find TIMOTHY VAYDER (DO)'s NPI?
You can confirm TIMOTHY VAYDER (DO) with NPI 1942230123; it appears in the national provider directory.
Is TIMOTHY VAYDER (DO) currently active in the NPI registry?
CMS-published data lists TIMOTHY VAYDER (DO) as an active registrant.
Can you summarize TIMOTHY VAYDER (DO)'s specialty in plain language?
Clinically, the directory lists TIMOTHY VAYDER (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place TIMOTHY VAYDER (DO)?
The snapshot lists Stevens Point, Wisconsin for TIMOTHY VAYDER (DO); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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