DR. TIMOTHY GLENN MOCK (O.D.) – Optometrist, NPI 1063961654
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
Provider Addresses for DR. TIMOTHY GLENN MOCK (O.D.)
1101 MADISON ST STE 600
SEATTLE, WA 981041340
Phone: (206) 215-2020
Fax: (206) 215-2022
Type: Location
North Indian Trail Road, Spokane, Spokane County, Washington, 99208, United States
SPOKANE, WA 992089126
Phone:
Type: Mailing
Mann-Grandstaff VA Medical Center, 4815, North Assembly Street, Spokane, Spokane County, Washington, 99205, United States
SPOKANE, WA 992056185
Phone: (509) 434-7000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $1,468.
Total Amount is formed as General ($1,468) + Research ($0) + Ownership ($0) = $1,468.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Dompe US, Inc. ($332).
Total Amount
$1,468
General + Research + Ownership
Payments
30
Total payment records
General Amount
$1,468
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dompe US, Inc. | $332 |
| BIOTISSUE HOLDINGS INC. | $253 |
| Bausch & Lomb Americas Inc. | $201 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $171 |
| Tarsus Pharmaceuticals, Inc. | $130 |
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: 2022-10-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221003002936 | I | Optometry | WA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 69 | $0 |
| 92014 | Established patient complete exam of visual system | 81 | 81 | $0 |
| 92250 | Photography of the retina | 38 | 37 | $0 |
| 92004 | New patient complete exam of visual system | 31 | 31 | $0 |
| 92083 | Exam of visual field with extended testing | 14 | 14 | $0 |
Insurance plans in this area (ZIP 98104)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P T O M E T R Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | WA | |
| O P H T H A L M O L O G Y | AR | |
| O P H T H A L M O L O G Y | CA | |
| O P T O M E T R Y | WA |
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