DR. TIMOTHY J HURLEY (OD) – Optometrist, NPI 1518928845

DR. TIMOTHY J HURLEY (OD) is a healthcare provider. based in Maple grove, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2688 (MN). The NPI Number for DR. TIMOTHY J HURLEY (OD) is 1518928845

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY J HURLEY (OD)
NPI
1518928845
Phone
(763) 315-1464
Address
9126 LARCH LN N
Enumeration Date
28 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9524472020
Graduation Year
1998 (28 years ago)
PAC ID
3072764679
Group Practice PAC ID
5991733289
Professional Enrollment ID
I20121107000597
Address ID
MN553722883PR16250SEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for DR. TIMOTHY J HURLEY (OD)

  • 9126, Larch Lane North, Maple Grove, Hennepin County, Minnesota, 55369, United States

    MAPLE GROVE, MN 553693972

    Phone: (763) 315-1464

    Type: Mailing

  • Hwy 169, Schmidt Lake Road, Plymouth, Hennepin County, Minnesota, 55442, United States

    PLYMOUTH, MN 554422897

    Phone: (763) 551-0529

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $266.

Total Amount is formed as General ($266) + Research ($0) + Ownership ($0) = $266.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: CooperVision Inc. ($127).

Total Amount

$266

General + Research + Ownership

Payments

7

Total payment records

General Amount

$266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2012-11-07

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
I20121107000597IOptometryMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55369)

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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: 5991733289View full group profile
NameSpecialtyState
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

How do payers reference DR. TIMOTHY J HURLEY (OD)?
For DR. TIMOTHY J HURLEY (OD), use NPI 1518928845 as the unique 10-digit identifier.
Would DR. TIMOTHY J HURLEY (OD) appear as active to a payer?
You can treat DR. TIMOTHY J HURLEY (OD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. TIMOTHY J HURLEY (OD)?
DR. TIMOTHY J HURLEY (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. TIMOTHY J HURLEY (OD) located near Maple Grove?
DR. TIMOTHY J HURLEY (OD) currently maps to Maple Grove, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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