TIMOTHY P ORTIZ (O. D.) – Optometrist, NPI 1710038690

TIMOTHY P ORTIZ (O. D.) is a healthcare provider. based in Morris, Illinois. specializing in OPTOMETRY. They hold the professional credentials O. D.. They hold a License No. 046 008365 (IL). The NPI Number for TIMOTHY P ORTIZ (O. D.) is 1710038690

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY P ORTIZ (O. D.)
NPI
1710038690
Phone
(815) 942-5500
Address
880 BEDFORD RD
Enumeration Date
16 January 2007
Last Update Date
22 September 2011

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8159425500
Graduation Year
1998 (28 years ago)
PAC ID
0749396265
Group Practice PAC ID
7618096041
Professional Enrollment ID
I20111202000749
Address ID
IL604501209MO880XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for TIMOTHY P ORTIZ (O. D.)

  • 880, Bedford Road, Morris, Grundy County, Illinois, 60450, United States

    MORRIS, IL 604501209

    Phone: (815) 942-5500

    Fax: (815) 942-1851

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $233.

Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($73).

Total Amount

$233

General + Research + Ownership

Payments

12

Total payment records

General Amount

$233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111202000749IOptometryILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens9,74869$0
66821Removal of recurring cataract in lens capsule using a laser3,42224$0
92014Established patient complete exam of visual system609595$0
99213Established patient office or other outpatient visit, 20-29 minutes315192$0
92250Photography of the retina209185$0
View full utilization report →

Insurance plans in this area (ZIP 60450)

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Provider's Procedures

TIMOTHY P ORTIZ (O. D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92083Measurement of field of vision during daylight conditions7671
OPTOMETRYIL92134Diagnostic imaging of retina5851

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618096041View full group profile
NameSpecialtyState
O P T O M E T R YIL

Reviews

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Frequently asked questions

How do I look up TIMOTHY P ORTIZ (O. D.) by NPI?
Use NPI 1710038690 when you need to reference TIMOTHY P ORTIZ (O. D.) in forms, claims, or directories.
Is TIMOTHY P ORTIZ (O. D.) active in the national directory?
TIMOTHY P ORTIZ (O. D.)'s public NPI profile is in an active state.
What does TIMOTHY P ORTIZ (O. D.) treat or focus on?
Patients typically see TIMOTHY P ORTIZ (O. D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is TIMOTHY P ORTIZ (O. D.)'s primary listing?
We display Morris, Illinois because that is what the record indicates for TIMOTHY P ORTIZ (O. D.).
Is TIMOTHY P ORTIZ (O. D.) a real provider?
This page reflects official NPPES data for NPI 1710038690. Always confirm identity and privileges with the practice and licensing boards.

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