Timothy Misenheimer, M.D.
NPI 1538268461 · Specialist · Asheboro, NC
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Misenheimer, M.D. is a Specialist provider in Asheboro, NC (NPI 1538268461).
Provider details
- NPI number
- 1538268461
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 32950 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
606 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 158 | $119 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 80 | $156 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 53 | $97 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 45 | $104 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 43 | $85 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 417 | 124 |
| Famotidine | 253 | 60 |
| Pantoprazole Sodium | 173 | 48 |
| Dicyclomine Hcl | 120 | 50 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 36 | 36 |
| Mesalamine | 26 | — |
| Amitriptyline Hcl | 25 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Frequently asked questions
- What is Timothy Misenheimer's NPI number?
- Timothy Misenheimer's National Provider Identifier (NPI) is 1538268461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Misenheimer's specialty?
- Timothy Misenheimer is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Timothy Misenheimer located?
- Timothy Misenheimer's practice location on file with NPPES is 548 Greensboro St, Asheboro, NC 27203-5573.
- What is Timothy Misenheimer's phone number?
- The practice phone number listed in the NPPES registry for Timothy Misenheimer is (336) 629-5989.
- Does Timothy Misenheimer accept Medicare?
- Timothy Misenheimer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Misenheimer's NPI active?
- Yes — Timothy Misenheimer's NPI (1538268461) is active in the NPPES registry as of the last update on 2022-05-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.