TIMOTHY J GOLDSMITH (OD) – Optometrist, NPI 1114912573
Optometrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
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Provider Addresses for TIMOTHY J GOLDSMITH (OD)
1101, 1st Street Northeast, East Gate Estates, New Prague, Scott County, Minnesota, 56071, United States
NEW PRAGUE, MN 560712197
Phone: (952) 758-2080
Fax: (952) 758-5922
Type: Location
PO BOX 261
NEW PRAGUE, MN 560710261
Phone: (952) 758-2080
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $350.
Total Amount is formed as General ($350) + Research ($0) + Ownership ($0) = $350.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: ABIOMED ($146).
Total Amount
$350
General + Research + Ownership
Payments
6
Total payment records
General Amount
$350
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $146 |
| CooperVision Inc. | $146 |
| Alcon Vision LLC | $22 |
| ABB Con-Cise Optical Group LLC | $21 |
| Oyster Point Pharma, Inc. | $14 |
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: 2010-06-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100622000863 | I | Optometry | MN | 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 | 48 | 48 | $0 |
| 92134 | Imaging of retina | 30 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 19 | $0 |
| 92133 | Imaging of optic nerve | 18 | 17 | $0 |
Insurance plans in this area (ZIP 56071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN |
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