Active NPI 1881618833 Individual Practitioner Male Practitioner

Dr. Timothy S Mologne , MD

Orthopaedic Surgery • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Mologne, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Appleton, WI. Practice services are available at 2105 E ENTERPRISE AVE # 111 under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2105 E Enterprise Ave # 111

Appleton, WI 54913

Telephone 9207316611

Fax 9207316732

Associated Practice Facility / Clinic

🏢 Valley Orthopedic Clinic Sc Facility NPI 1780628925

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Appleton, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

32 Specialists

Practicing in Appleton, WI (688 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	11	$5.00	$0.93
99213 Established patient office or other outpatient visit, typically 15 minutes	19	15	$186.00	$78.75
20610 Aspiration and/or injection of fluid from large joint	15	12	$468.00	$65.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	297	36	$3.34	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	55	40	$186.25	$85.10
20610 Aspiration and/or injection of fluid from large joint	47	35	$431.49	$61.97
73562 X-ray of knee, 3 views	40	34	$250.00	$38.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$269.00	$120.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$289.00	$104.87
73030 X-ray of shoulder, minimum of 2 views	19	18	$295.00	$32.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$412.00	$150.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$146.00	$53.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	318	31	$2.50	$1.17
99213 Established patient office or other outpatient visit, typically 15 minutes	70	51	$184.43	$86.25
20610 Aspiration and/or injection of fluid from large joint	50	33	$388.80	$61.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$286.42	$105.53
73562 X-ray of knee, 3 views	21	17	$250.00	$39.28
73030 X-ray of shoulder, minimum of 2 views	19	18	$295.00	$33.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$264.61	$122.33
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	12	11	$40.00	$35.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	51	$189.54	$84.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$287.67	$107.01
20610 Aspiration and/or injection of fluid from large joint	32	22	$377.63	$60.46
73562 X-ray of knee, 3 views	23	20	$257.61	$40.38
J1040 Injection, methylprednisolone acetate, 80 mg	21	18	$30.00	$10.69
73030 X-ray of shoulder, minimum of 2 views	21	20	$302.71	$34.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$275.30	$124.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$409.69	$160.15
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	13	$40.00	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	45	$200.00	$72.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$284.00	$103.31
20610 Aspiration and/or injection of fluid from large joint	43	27	$403.40	$63.37
J1030 Injection, methylprednisolone acetate, 40 mg	31	26	$21.00	$6.04
73560 X-ray of knee, 1-2 views	14	14	$209.00	$32.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	41	$200.00	$71.01
20610 Aspiration and/or injection of fluid from large joint	49	30	$382.90	$57.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$284.00	$102.88
J1030 Injection, methylprednisolone acetate, 40 mg	30	26	$21.00	$6.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$290.00	$104.10
73562 X-ray of knee, 3 views	15	11	$250.67	$37.86
73560 X-ray of knee, 1-2 views	15	13	$209.00	$30.78
73030 X-ray of shoulder, minimum of 2 views	14	14	$276.00	$28.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	67	30	$394.00	$55.28
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	65	27	$22.00	$7.03
99213 Established patient office or other outpatient visit, typically 15 minutes	59	40	$174.00	$68.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$256.00	$100.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	29	$257.00	$99.84
73030 X-ray of shoulder, minimum of 2 views	25	23	$144.00	$27.98
73562 X-ray of knee, 3 views	15	14	$141.00	$32.39
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$8034.00	$998.85
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$5968.00	$164.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	63	19	$14.32	$6.62
20610 Aspiration and/or injection of fluid from large joint	50	19	$362.64	$54.36
99213 Established patient office or other outpatient visit, typically 15 minutes	39	29	$174.00	$69.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$256.00	$100.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$257.00	$102.96
73030 X-ray of shoulder, minimum of 2 views	16	14	$144.00	$25.94
73560 X-ray of knee, 1-2 views	13	12	$124.00	$29.33
73562 X-ray of knee, 3 views	11	11	$141.00	$34.13

Medical Specialties & State Licenses

CMS Verified: 2021-09-13

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 46236

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License WI 46236

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bc/bs

391821816017 (WI)

Secondary Practice Locations

277 Altenhofen Dr

Appleton, WI 549138401

Phone: 9209931643

277 Altenhofen Dr

Appleton, WI 549138401

Phone: 9209931643

Practice Associates & Co-Workers

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

16 Associated Practitioners

Ashley Rockey , ATC

Specialist/Technologist, Other

NPI 1073528493

Certified Athletic Trainer

Lyndsey Maves , PA-C

Physician Assistant

NPI 1073597761

Physician Assistant (Certified)

Kristine Clark , OTC

Specialist/Technologist, Other

NPI 1073795506

Sheryl Gauthier , PA-C

Physician Assistant

NPI 1114231974

Physician Assistant (Certified)

Kim Willison , APNP

Nurse Practitioner - Adult Health

NPI 1225080955

Advanced Practice Nurse Prescriber

Bradley Borgen , APNP

Nurse Practitioner

NPI 1255383006

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2021

Orthopaedic Surgery (License #46236 in WI)

📍

Updated Practice Location January 14, 2019

Registered at 2105 E ENTERPRISE AVE # 111, APPLETON, WI 54913 (Tel: 9207316611)

📍

Updated Business Mailing Address January 14, 2019

Registered at 2105 E ENTERPRISE AVE # 111, APPLETON, WI 549137862 (Tel: 9207316611)

✅

NPI Profile Active January 08, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2008

Registered at 277 ALTENHOFEN DR, APPLETON, WI 549138401 (Tel: 9209931643)

📍

Updated Business Mailing Address January 08, 2008

Registered at 277 ALTENHOFEN DR, APPLETON, WI 549138401 (Tel: 9209931643)

👤

Provider Name / Credentials Updated January 08, 2008

Recorded as TIMOTHY MOLOGNE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2008

Orthopaedic Surgery (License #46236 in WI)

🟢

Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881618833

Entity Type:

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

Enumeration Date: July 26, 2006

Last Update: September 14, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2105 E Enterprise Ave # 111

Appleton, WI 549137862

Phone: 9207316611

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.