TIM A BENGTSON (O.D.) – Optometrist, NPI 1891989919

TIM A BENGTSON (O.D.) is a healthcare provider. based in Macomb, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046007904 (IL). The NPI Number for TIM A BENGTSON (O.D.) is 1891989919

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
TIM A BENGTSON (O.D.)
NPI
1891989919
Phone
(309) 833-4242
Address
820 E JACKSON ST
Enumeration Date
31 August 2007
Last Update Date
8 May 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
3098334242
Graduation Year
1986 (40 years ago)
PAC ID
7810884178
Group Practice PAC ID
3678460920
Professional Enrollment ID
I20040303000122
Address ID
IL614552412MA820XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for TIM A BENGTSON (O.D.)

  • 820, East Jackson Street, Macomb, McDonough County, Illinois, 61455, United States

    MACOMB, IL 614552412

    Phone: (309) 833-4242

    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 19 Open Payments records for all available years, with a total value of $349.

Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($71).

Total Amount

$349

General + Research + Ownership

Payments

19

Total payment records

General Amount

$349

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2004-03-03

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
I20040303000122IOptometryILTBD

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 lens2,83522$0
92014Established patient complete exam of visual system419419$0
99213Established patient office or other outpatient visit, 20-29 minutes270190$0
92134Imaging of retina241189$0
83861Microfluid analysis of tears15778$0
View full utilization report →

Insurance plans in this area (ZIP 61455)

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Provider's Procedures

TIM A BENGTSON (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 conditions7372
OPTOMETRYIL92134Diagnostic imaging of retina210193

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: 3678460920View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Where can patients find TIM A BENGTSON (O.D.)'s NPI?
You can confirm TIM A BENGTSON (O.D.) with NPI 1891989919; it appears in the national provider directory.
Is TIM A BENGTSON (O.D.) active in the national directory?
TIM A BENGTSON (O.D.)'s public NPI profile is in an active state.
Can you summarize TIM A BENGTSON (O.D.)'s specialty in plain language?
Clinically, the directory lists TIM A BENGTSON (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does TIM A BENGTSON (O.D.) practice in Illinois?
You will see Macomb, Illinois on file for TIM A BENGTSON (O.D.) alongside any extra practice locations.
Is TIM A BENGTSON (O.D.) a real provider?
This page reflects official NPPES data for NPI 1891989919. Always confirm identity and privileges with the practice and licensing boards.

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