DR. TIMOTHY J EHLEN (MD) – Ophthalmology Physician, NPI 1184602047

DR. TIMOTHY J EHLEN (MD) is a healthcare provider. based in St anthony, Minnesota. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 40916 (MN). The NPI Number for DR. TIMOTHY J EHLEN (MD) is 1184602047

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY J EHLEN (MD)
NPI
1184602047
Phone
(763) 416-7600
Address
2601 39th Ave NE Ste 1
Enumeration Date
2 January 2006
Last Update Date
17 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7634167600
Graduation Year
1994 (32 years ago)
PAC ID
8820981723
Group Practice PAC ID
2163315045
Professional Enrollment ID
I20100803001284
Address ID
MN553697074MA12000NXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

415 OPHTHALMOLOGY in MN

Provider Addresses for DR. TIMOTHY J EHLEN (MD)

  • 2601 39th Ave NE Ste 1

    St Anthony, MN 55421

    Phone: (763) 416-7600

    Fax: (763) 416-7634

    Type: Location

  • 12000 Elm Creek Blvd N Ste 100

    Maple Grove, MN 553697074

    Phone: (763) 416-7600

    Fax: (763) 416-7634

    Type: Location

  • 250 Central Ave N Ste 107

    Wayzata, MN 553911207

    Phone: (763) 416-7600

    Fax: (763) 416-7634

    Type: Location

  • Golden Valley Road, Golden Valley, Meander Valley, Tasmania, Australia

    GOLDEN VALLEY, MN 554274488

    Phone: (763) 416-7629

    Fax: (763) 383-4147

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Alcon Vision LLC ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$21
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: 2010-08-03

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
I20100803001284IOphthalmologyMNTBD

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 minutes394292$0
99214Established patient office or other outpatient visit, 30-39 minutes372343$0
92136Measurement of corneal curvature and depth of eye294220$0
92014Established patient complete exam of visual system256256$0
66984Removal of cataract with insertion of prosthetic lens15793$0
View full utilization report →

Insurance plans in this area (ZIP 55421)

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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: 2163315045View full group profile
NameSpecialtyState
-MN
-MN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YMN
-MN
O P H T H A L M O L O G YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Is there an official ID for DR. TIMOTHY J EHLEN (MD) in U.S. healthcare records?
The official identifier for DR. TIMOTHY J EHLEN (MD) is NPI 1184602047.
Is DR. TIMOTHY J EHLEN (MD) still an active registrant?
DR. TIMOTHY J EHLEN (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. TIMOTHY J EHLEN (MD)?
DR. TIMOTHY J EHLEN (MD) is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. TIMOTHY J EHLEN (MD) registered?
Use St Anthony, Minnesota as the headline location for DR. TIMOTHY J EHLEN (MD) here.
Can I trust this NPI listing for DR. TIMOTHY J EHLEN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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