2026 NPPES data Pulmonary Disease Physician NPI 1043282585 M.D.
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TIMOTHY MORGENTHALER, M.D.

Pulmonary Disease Physician in ROCHESTER, Minnesota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
157
Medicare Part D claims · 72 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$145.22
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TIMOTHY MORGENTHALER, M.D. is a Pulmonary Disease Physician ([object Object]) practicing in ROCHESTER, Minnesota with a Medicare Part D prescribing footprint of 157 claims across 72 beneficiaries — 15% brand-name prescribing . Industry payments of $145.22 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TIMOTHY MORGENTHALER, M.D. filed 157 Medicare Part D claims in 2023 across ROCHESTER, Minnesota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

TIMOTHY MORGENTHALER, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TIMOTHY MORGENTHALER, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 02/07/2006

NPI 1043282585

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

157 89% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Minnesota

How Pulmonary Disease Physician compares to other specialties among Minnesota providers

Minnesota providers

Pulmonary Disease Physician share within Minnesota

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Minnesota

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

TIMOTHY MORGENTHALER, M.D. is a Pulmonary Disease Physician provider practicing in ROCHESTER, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1043282585. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TIMOTHY MORGENTHALER, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 200 1ST ST SW, ROCHESTER, MN, 55905, with a listed phone of (507) 284-2511. NPI 1043282585 was issued on 02/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MORGENTHALER most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 157 prescription claims written by this provider, covering 72 Medicare beneficiaries and totaling roughly $112K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 10.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

200 1ST ST SW
ROCHESTER, MN 55905

Provider Details

NPI 1043282585
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 02/07/2006

Hospital and facility affiliations

Facilities where TIMOTHY MORGENTHALER, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MAYO CLINIC
ROCHESTER, MN
MAYO CLINIC HEALTH SYSTEM-LAKE CITY
ROCHESTER, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for TIMOTHY MORGENTHALER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$145

Largest payer

ZOLL Respicardia, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

TIMOTHY MORGENTHALER, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 157 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

157
Total Claims
$112K
Total Drug Cost
72
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
218
Total Day Supply
6,406
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$103K
Generic Drug Cost
$9K
Opioid Claims
16 (10.2% rate)

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.39
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Pregabalin
16
Modafinil
14
Trazodone Hcl
13
Neupro
Rotigotine
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pulmonary Disease Physician Overview

How TIMOTHY MORGENTHALER, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

TIMOTHY MORGENTHALER, M.D.'s 157 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Minnesota

Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as MORGENTHALER.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TIMOTHY MORGENTHALER, M.D.'s specialty?
TIMOTHY MORGENTHALER, M.D. specializes in Pulmonary Disease Physician and practices in ROCHESTER, Minnesota. Credentials: M.D..
How much does TIMOTHY MORGENTHALER, M.D. prescribe under Medicare Part D?
In 2023, TIMOTHY MORGENTHALER, M.D. wrote 157 Medicare Part D claims totaling $112K in drug costs for 72 beneficiaries.
Where is TIMOTHY MORGENTHALER, M.D. located?
TIMOTHY MORGENTHALER, M.D. is located at 200 1ST ST SW, ROCHESTER, MN, 55905. Phone: (507) 284-2511.
What is TIMOTHY MORGENTHALER, M.D.'s NPI number?
TIMOTHY MORGENTHALER, M.D.'s National Provider Identifier (NPI) is 1043282585, issued on 02/07/2006.
Does TIMOTHY MORGENTHALER, M.D. prescribe more brand-name or generic drugs?
TIMOTHY MORGENTHALER, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $103K in brand drug costs.
Does TIMOTHY MORGENTHALER, M.D. prescribe opioids?
Yes, TIMOTHY MORGENTHALER, M.D. had 16 opioid claims in 2023 with an opioid prescribing rate of 10.2%.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does TIMOTHY MORGENTHALER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TIMOTHY MORGENTHALER, M.D.'s most frequently prescribed drugs include Pregabalin, Modafinil, Trazodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIMOTHY MORGENTHALER, M.D. accept Medicare?
TIMOTHY MORGENTHALER, M.D. appears in CMS Medicare data with 157 Part D claims and 72 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIMOTHY MORGENTHALER, M.D.'s credentials?
TIMOTHY MORGENTHALER, M.D.'s NPI is 1043282585 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology