Timothy Vernon Myers, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

37040 Issued in MN

Practice address

403 S Oak St
Lake City, MN 55041-1739

Phone

(952) 595-1100

Fax

(612) 294-4903

NPI assigned

Jan 11, 2006

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN, AZ, CA, KS, MI5 enrollments

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 5

Specialty

Diagnostic Radiology

Education

University of Missouri, Kansas City, School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hiawatha Hospital Association IncGroup PAC ID 9032007364, shared by 5 NPIs, 47 clinicians

Radiology Specialists of St Joseph PCGroup PAC ID 3173508512, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
• Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382
• Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340
• Mosaic Medical Center Albany Hospital, Albany, MO, CCN 261328
• Wright Memorial Hospital Hospital, Trenton, MO, CCN 261309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Radiology Specialists of St Joseph PC

  • Diagnostic Radiology Physician
  • Saint Joseph, MO
  • NPI 1679512701

  MN

  Medicare reassignment Care Compare group NPD
• Amberwell Atchison Association

  dba Amberwell Atchison

  • Critical Access Hospital
  • Atchison, KS
  • NPI 1932151487
  Medicare reassignment NPD
• Beacon Dowagiac Inc

  dba Beacon Dowagiac

  • Critical Access Hospital
  • Dowagiac, MI
  • NPI 1194771030
  Medicare reassignment NPD
• City of Hope Medical Group of Arizona LLC

  • Medical Oncology Physician
  • Goodyear, AZ
  • NPI 1609026806

  Diagnostic Radiology

  Medicare reassignment NPD
• Desert Advanced Imaging Medical Center

  • Diagnostic Radiology Physician
  • Palm Desert, CA
  • NPI 1568416147

  MN

  Medicare reassignment NPD
• Hiawatha Hospital Association Inc

  dba Amberwell Hiawatha

  • Critical Access Hospital
  • Hiawatha, KS
  • NPI 1255421210
  Medicare reassignment NPD
• Hiawatha Hospital Association Inc

  dba Amberwell Hiawatha

  • Nutrition Education Nutritionist
  • Hiawatha, KS
  • NPI 1518572395
  Medicare reassignment NPD
• IHS Radiology Medical Group, Inc.

  dba Imaging Healthcare Specialists

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1497148456

  MN

  Medicare reassignment NPD
• Pinnacle Medical Group, Inc

  dba Optum

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1376876912
  Medicare reassignment NPD
• Riverside Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Columbus, OH
  • NPI 1093718496

  MN

  Medicare reassignment NPD
• SHPS, PLLC

  • Diagnostic Radiology Physician
  • Paducah, KY
  • NPI 1790421089

  MN

  Medicare reassignment NPD
• NRS Arizona PA

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1871800086
  NPD (past) Authorized official

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

• Amberwell Atchison Association

  dba Amberwell Atchison

  • Critical Access Hospital
  • Atchison, KS
  • NPI 1932151487
  Care Compare affiliation
• Heartland Regional Medical Center

  dba Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation
• Mosaic Medical Center - Maryville

  • Critical Access Hospital
  • Maryville, MO
  • NPI 1265906663
  Care Compare affiliation
• Northwest Medical Center Association Inc

  dba Mosaic Medical Center Albany

  • Critical Access Hospital
  • Albany, MO
  • NPI 1306893268
  Care Compare affiliation
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Care Compare affiliation

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1548249246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S OAK ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411739",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Progress Dr Ste 145&180",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660436326",
            "country_code": "US",
            "telephone_number": "913-297-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Ravenhill Dr",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660029204",
            "country_code": "US",
            "telephone_number": "913-367-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TIMOTHY",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-09-29",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "255272-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "37040",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-33400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "004030030",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011642",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004191130004",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayo Clinic Hospital-Rochester
• Patience S Mbonifor, RN, DNP
• Srdjan Milosavljevic, PA-C
• Tina Marie Montgomery, M.S. CCC/SLP
• Marie Ann Mueske, DDS
• Heather Nagel
• Laura Anthony O'Rourke, NP-C
• Christian Howard Oeltjen
• Elizabeth Agnes Olson, D.C.
• Leroy Frank Otto, DC

• Diagnostic Radiology Physician in Lake City, MN
• Providers in Lake City, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.