TIMOTHY BLANKENSHIP (O.D.) – Optometrist, NPI 1164440368
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
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Provider Addresses for TIMOTHY BLANKENSHIP (O.D.)
1200, West Deyoung Street, Marion, Williamson County, Illinois, 62959, United States
MARION, IL 629594437
Phone: (618) 993-5686
Fax: (618) 997-6250
Type: Mailing
2511, North Westwood Boulevard, Loma Linda, Poplar Bluff, Butler County, Missouri, 63901, United States
POPLAR BLUFF, MO 639012338
Phone: (573) 686-5866
Fax: (573) 686-0425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $708.
Total Amount is formed as General ($708) + Research ($0) + Ownership ($0) = $708.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($182).
Total Amount
$708
General + Research + Ownership
Payments
41
Total payment records
General Amount
$708
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $182 |
| ABBVIE INC. | $129 |
| Alcon Vision LLC | $106 |
| Oyster Point Pharma, Inc. | $56 |
| Harrow Eye, LLC | $42 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-02-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060913000065 | I | Optometry | MO | TBD |
| I20190214002055 | I | Optometry | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 915 | 905 | $0 |
| 92134 | Imaging of retina | 828 | 822 | $0 |
| 92250 | Photography of the retina | 332 | 321 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 184 | 145 | $0 |
| 92004 | New patient complete exam of visual system | 132 | 132 | $0 |
Insurance plans in this area (ZIP 62959)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | MO | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 68 | 60 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | MO |
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