Active NPI 1528004587 Individual Practitioner Male Practitioner

Dr. Timothy J Gavin , MD

Surgery - Vascular Surgery • Edina, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Gavin, MD is a certified Surgery - Vascular Surgery practicing in Edina, MN. With approximately 37 years of clinical experience since graduating from Medical College Of Wisconsin in 1989, Dr. Gavin delivers high-quality medical care to the local community at 6405 FRANCE AVE S.

Dr. Gavin is affiliated with Fairview Express Care and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6405 France Ave S
Suite W440

Edina, MN 554352163

Telephone 9529277004

Fax 9529275146

Associated Practice Facility / Clinic

🏢 Minnesota Heart Clinic, P.a. Facility NPI 1891773693

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Edina, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs -2.5 yrs vs City Avg

City Avg: 39.5 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Edina, MN (99 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gavin (37 Years) 37 Yrs

Edina Specialty Average (39.5 Years) 39.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	50	$345.00	$62.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	22	$488.93	$92.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$425.00	$76.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	54	$325.14	$63.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$463.00	$94.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$396.92	$79.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$472.33	$124.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	68	$295.72	$64.34
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$278.40	$87.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$374.00	$80.58
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$259.00	$72.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	51	$251.57	$65.00
99213 Established patient office or other outpatient visit, typically 15 minutes	39	36	$254.92	$90.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$367.00	$129.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	21	$365.00	$95.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$363.71	$81.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$365.16	$111.94
99442 Telephone medical discussion with physician, 11-20 minutes	16	16	$89.25	$66.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	39	$234.40	$51.02
99442 Telephone medical discussion with physician, 11-20 minutes	29	28	$84.00	$51.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$347.62	$79.01
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$233.82	$75.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$341.20	$75.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$346.27	$109.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	57	$212.32	$50.34
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$213.07	$73.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$306.86	$107.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$306.79	$74.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$315.25	$77.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	58	$197.25	$50.04
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$197.85	$71.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$291.67	$105.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$291.55	$73.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	83	$191.04	$49.34
99213 Established patient office or other outpatient visit, typically 15 minutes	36	27	$191.00	$71.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$280.04	$76.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$281.17	$73.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$282.94	$105.16

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License MN 47505

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License MN 47505

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

766110000 (MN)

Commercial Insurance / Payer ID Mn License

47505 (MN)

Commercial Insurance / Payer ID Healthpartners

HP50655 (MN)

Commercial Insurance / Payer ID America's Ppo

2341371 (MN)

Commercial Insurance / Payer ID Preferredone

961901043279 (MN)

Commercial Insurance / Payer ID Bluecross/blueshield Mn

993N5GA (MN)

Commercial Insurance / Payer ID Medica

3700049 (MN)

Commercial Insurance / Payer ID Medicare Railroad

P00217949 (MN)

Commercial Insurance / Payer ID Ucare Minnesota

181292 (MN)

Hospital & Practice Group Affiliations

Fairview Express Care

12680 Arbor Lakes Pkwy N, Maple Grove, MN 553697172

Phone: 7634888346

Fairview Express Care

717 Delaware St Se, Minneapolis, MN 554142959

Phone: 6126727422

Fairview Express Care

6525 France Ave S, Edina, MN 554352107

Phone: 9528318346

Fairview Express Care

1700 University Ave W, Saint Paul, MN 551043727

Phone: 8553247843

Secondary Practice Locations

1700 University Ave W Fl 6

Saint Paul, MN 551043727

Phone: 6512322273

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Dr. Paul Benn , MD

Surgery

NPI 1093746976

Doctor of Medicine (M.D.)

Dr. Charles Nicholson , MD

Surgery - Vascular Surgery

NPI 1114958097

Doctor of Medicine (M.D.)

Dr. George Nemanich , MD

Surgery

NPI 1184654329

Doctor of Medicine (M.D.)

Dr. Ronald Jensen , MD

Surgery

NPI 1205867181

Doctor of Medicine (M.D.)

Dr. Luis Laguna , MD

Surgery

NPI 1205874591

Doctor of Medicine (M.D.)

Dr. Christopher Roland , MD

Surgery - Vascular Surgery

NPI 1306876578

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 30, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 30, 2013

Registered at 6405 FRANCE AVE S, SUITE W440, EDINA, MN 554352163 (Tel: 9529277004)

📍

Updated Business Mailing Address July 30, 2013

Registered at 3400 W 66TH ST, SUITE 350, EDINA, MN 554352111 (Tel: 9528320805)

👤

Provider Name / Credentials Updated July 30, 2013

Recorded as TIMOTHY GAVIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2013

Surgery (License #47505 in MN)

🟢

Initial NPI Registration & Enumeration June 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528004587

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 20, 2006

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3400 W 66th St, Suite 350

Edina, MN 554352111

Phone: 9528320805

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.