Timothy Joe Misenheimer, M.D.
NPI 1538268461ActiveIndividual· Specialist· Asheboro, NC
Specialist (M.D.) in Asheboro, North Carolina, trained at University of North Carolina at Chapel Hill School of Medicine (class of 1987). Their prescriptions cost Medicare Part D more than their services did: $104,044 for 1,311 claims, against $54,633 paid for services in 2024. Boston Scientific Corporation was the largest of 4 companies reporting payments in 2025, $103.78 in all, mostly food and beverage.
Overview
| NPI | 1538268461 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 21, 2006 |
| Last updated in NPPES | May 25, 2022 |
| Certified by provider | May 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 32950 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 267 |
|---|---|
| Services billed | 629 across 26 procedure codes |
| Paid by Medicare | $54,633 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,311 · 2,196 30-day fills |
|---|---|
| Patients | 324 |
| Total drug cost | $104,044 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of North Carolina at Chapel Hill School of Medicine |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Gastroenterology |
Medical group
- American Healthcare Systems LLCAsheboro, NC · 68 clinicians
Hospital affiliations
- Moses H. Cone Memorial Hospital, theGreensboro, NC
- Randolph HospitalAsheboro, NC
Industry payments (Open Payments)
- 2025$103.78 · 4 payments from 4 companies
- 2024$31.75 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $37.01 | 1 |
| Madrigal Pharmaceuticals | $25.05 | 1 |
| Janssen Biotech, Inc. | $21.17 | 1 |
| Ardelyx, Inc. | $20.55 | 1 |
What the 2025 payments were for
- Food and Beverage$103.78 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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