NPIMap

Individual provider Active NPI

Timothy Walter Vollmer, D.O.

  • Interventional Pain Medicine Physician
  • Saint Marys, PA
National Provider Identifier
1851644637
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS018568 Issued in PA
Practice address
1095 Million Dollar Hwy # a
Saint Marys, PA 15857-2743
Phone
(814) 593-1215
Fax
(814) 253-5843
NPI assigned
Oct 18, 2012
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X AD9470826-528604 FL
Anesthesiology Physician 207L00000X OS018568 PA
Pain Medicine (Anesthesiology) Physician 207LP2900X OS018568 PA
Interventional Pain Medicine Physician 208VP0014X OS018568 PA Primary

Addresses

Primary practice location

1095 Million Dollar Hwy # a
Saint Marys, PA 15857-2743

Mailing address

1095 Million Dollar Hwy
Saint Marys, PA 15857-2743
Phone (814) 593-1215

Other identifiers 1

IdentifierTypeStateIssuer
1992069173OtherFLNPI TYPE 2 ENTITY (UF SHANDS)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005000467 PA Practitioner - AnesthesiologyPractitioner - Pain Management 9032351259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Spine and Joint Center of the Alleghenies PCGroup PAC ID 7618354655, 5 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

1095 Million Dollar Hwy
Saint Marys, PA 15857-2743
Phone (814) 593-1215

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

205 Hampton Ave
Punxsutawney, PA 15767-2133
Phone (814) 938-0148

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
31.99 of 100Reported as individual
Quality
19.66
Improvement activities
0
Cost
80.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AD9470826-528604FLMDAnesthesiology Physician
OS018568PAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Spine & Joint Center of the Alleghenies PC Pain Medicine CurrentSince Jun 20, 2022 Accepting new patients
University Orthopedics Center, LTD CurrentSince Sep 15, 2022 Accepting new patients
University Orthopedics Center, LTD CurrentSince Sep 15, 2022 Accepting new patients

Locations

10 Timberview Ln
Russell, PA 16345
Phone (716) 376-2203

1095 Million Dollar Hwy
Saint Marys, PA 15857
Phone (814) 593-1215

1095 Million Dollar Hwy
#A
Saint Marys, PA 15857
Phone (814) 593-1215

17 Tollgate Rd
Sheffield, PA 16347
Phone (814) 593-1215

101 Regent Ct
State College, PA 16801
Phone (814) 231-1504

143 Pleasant Dr
#145
Warren, PA 16365

Interoperability endpoints

  • Direct secure messaging: drvollmer@painspinejoint.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1851644637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 MILLION DOLLAR HWY",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572743",
            "telephone_number": "814-593-1215",
            "fax_number": "814-253-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 MILLION DOLLAR HWY # A",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158572743",
            "telephone_number": "814-593-1215",
            "fax_number": "814-253-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLMER",
        "first_name": "TIMOTHY",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "AD9470826-528604",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS018568",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "OS018568",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "OS018568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2 ENTITY (UF SHANDS)",
            "identifier": "1992069173",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.