DR. TIMOTHY H. BLANKENBEKER (O.D.) – Optometrist, NPI 1316146798

DR. TIMOTHY H. BLANKENBEKER (O.D.) is a healthcare provider. based in Elkhart, Indiana. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 18003467B (IN). The NPI Number for DR. TIMOTHY H. BLANKENBEKER (O.D.) is 1316146798

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY H. BLANKENBEKER (O.D.)
NPI
1316146798
Phone
(574) 266-2111
Address
2216 Cassopolis St
Enumeration Date
16 July 2007
Last Update Date
11 April 2019

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5742713939
Graduation Year
2007 (19 years ago)
PAC ID
9335231661
Group Practice PAC ID
3173595634
Professional Enrollment ID
I20070816000474
Address ID
IN465453408MI230XXRDXX402
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

1,126 OPTOMETRY in IN

Provider Addresses for DR. TIMOTHY H. BLANKENBEKER (O.D.)

  • 2216 Cassopolis St

    Elkhart, IN 465145133

    Phone: (574) 266-2111

    Fax: (574) 266-0555

    Type: Location

  • 320 Meadow Ln

    Plymouth, IN 465639394

    Phone: (574) 935-4480

    Fax: (574) 941-2040

    Type: Location

  • 319 N Niles Ave Ste 100

    South Bend, IN 466172328

    Phone: (574) 282-2020

    Fax: (574) 288-2020

    Type: Location

  • 1747 Stafford Ct

    Goshen, IN 465266542

    Phone: (574) 533-0100

    Fax: (574) 534-8088

    Type: Location

  • East Day Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States

    MISHAWAKA, IN 465453408

    Phone: (574) 271-3939

    Fax: (574) 271-3941

    Type: Mailing

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 $1,259.

Total Amount is formed as General ($1,259) + Research ($0) + Ownership ($0) = $1,259.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($370).

Total Amount

$1,259

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2007-08-16

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
I20070816000474IOptometryINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes221127$0
92014Established patient complete exam of visual system157155$0
99212Established patient office or other outpatient visit, 10-19 minutes6751$0
92134Imaging of retina5141$0
92004New patient complete exam of visual system3939$0
View full utilization report →

Insurance plans in this area (ZIP 46514)

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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: 3173595634View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P T O M E T R YIN
O P H T H A L M O L O G YIN
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

What NPI should I save for DR. TIMOTHY H. BLANKENBEKER (O.D.)?
Save NPI 1316146798 if you need a stable reference for DR. TIMOTHY H. BLANKENBEKER (O.D.).
Does this profile mean DR. TIMOTHY H. BLANKENBEKER (O.D.) is currently active?
Yes — DR. TIMOTHY H. BLANKENBEKER (O.D.) appears active in the national provider directory.
What kind of provider is DR. TIMOTHY H. BLANKENBEKER (O.D.)?
The page reflects Optometrist for DR. TIMOTHY H. BLANKENBEKER (O.D.). Clinical services aligned with this taxonomy classification.
Does DR. TIMOTHY H. BLANKENBEKER (O.D.) practice in Indiana?
You will see Elkhart, Indiana on file for DR. TIMOTHY H. BLANKENBEKER (O.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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