Individual provider Active NPI

Anthony Louis Timko, M.D.

  • Dermatology Physician
  • Salida, CO
National Provider Identifier
1487647947
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
39785 Issued in CO
Practice address
925 Rush Dr
Central Colorado Dermatology
Salida, CO 81201-9665
Phone
(719) 539-4600
Fax
(719) 539-4629
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 39785 CO Primary

Addresses

Primary practice location

925 Rush Dr
Central Colorado Dermatology
Salida, CO 81201-9665

Mailing address

7300 Ranch Road 2222, Building 1, Ste 200
Austin, TX 78730
Phone (512) 628-0465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000802 CO Practitioner - Dermatology 2264576099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Toledo College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Derma, LLCGroup PAC ID 2466424072, 20 clinicians

Practice addresses (Care Compare)

261 Robinson St
Suite C100
Basalt, CO 81621-8387
Phone (970) 927-2800

925 Rush Dr
Salida, CO 81201-9665
Phone (719) 539-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.01 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision76
Removal of skin lesions988
Removal of skin cancer152
Removal or shaving of skin growth1-10
Skin biopsy296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39785COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Derma, LLC Dermatology CurrentSince Feb 15, 2022 Accepting new patients

Locations

261 Robinson St
Ste C100
Basalt, CO 81621
Phone (970) 927-2800

925 Rush Dr
Salida, CO 81201
Phone (719) 539-4600

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: anthony.timko@epiphanyderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1487647947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BUILDING 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78730",
            "telephone_number": "512-628-0465",
            "fax_number": "512-233-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 RUSH DR",
            "address_2": "CENTRAL COLORADO DERMATOLOGY",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019665",
            "telephone_number": "719-539-4600",
            "fax_number": "719-539-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMKO",
        "first_name": "ANTHONY",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "39785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.