TIMOTHY DONALD BEVERS (O.D.) – Optometrist, NPI 1700837168

TIMOTHY DONALD BEVERS (O.D.) is a healthcare provider. based in Baldwin, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2532 (WI). The NPI Number for TIMOTHY DONALD BEVERS (O.D.) is 1700837168

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY DONALD BEVERS (O.D.)
NPI
1700837168
Phone
(715) 684-1111
Address
1100 Bergslien St
Enumeration Date
12 May 2006
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7154231340
Graduation Year
1992 (34 years ago)
PAC ID
5294747960
Group Practice PAC ID
1456684471
Professional Enrollment ID
I20060620000256
Address ID
WI544946781WI4551XSXXX401
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

798 OPTOMETRY in WI

Provider Addresses for TIMOTHY DONALD BEVERS (O.D.)

  • 1100 Bergslien St

    Baldwin, WI 540022600

    Phone: (715) 684-1111

    Fax: (715) 684-1119

    Type: Location

  • 1000 N OAK AVE

    MARSHFIELD, WI 544495703

    Phone: (715) 387-5511

    Type: Mailing

  • Bergslien Street, Baldwin, Saint Croix County, Wisconsin, 54002, United States

    BALDWIN, WI 540022600

    Phone: (715) 684-1111

    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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

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: 2006-06-20

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
I20060620000256IOptometryWITBD

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
92014Established patient complete exam of visual system248248$0
92134Imaging of retina2322$0
99213Established patient office or other outpatient visit, 20-29 minutes2321$0
92004New patient complete exam of visual system1818$0
92083Exam of visual field with extended testing1414$0
View full utilization report →

Insurance plans in this area (ZIP 54002)

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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: 1456684471View full group profile

Reviews

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Frequently asked questions

How do I look up TIMOTHY DONALD BEVERS (O.D.) by NPI?
Use NPI 1700837168 when you need to reference TIMOTHY DONALD BEVERS (O.D.) in forms, claims, or directories.
Is TIMOTHY DONALD BEVERS (O.D.)'s NPI currently valid?
The extract we use shows TIMOTHY DONALD BEVERS (O.D.) as active.
What field does TIMOTHY DONALD BEVERS (O.D.) work in?
You can think of TIMOTHY DONALD BEVERS (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for TIMOTHY DONALD BEVERS (O.D.)?
We surface Baldwin, Wisconsin for TIMOTHY DONALD BEVERS (O.D.) based on available NPPES addresses.
Is TIMOTHY DONALD BEVERS (O.D.) a real provider?
This page reflects official NPPES data for NPI 1700837168. Always confirm identity and privileges with the practice and licensing boards.

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