Active NPI 1356573141 Individual Practitioner Male Practitioner

Dr. Timothy John Smith , OD

Optometrist • Dover, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Smith, OD is a certified Optometrist practicing in Dover, DE. With approximately 17 years of clinical experience since graduating from Southern College Of Optometry in 2009, Dr. Smith delivers high-quality medical care to the local community at 885 S GOVERNORS AVE.

Dr. Smith is affiliated with Millsboro Eye Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, imaging of retina, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

885 S Governors Ave

Dover, DE 199044158

Telephone 3027341472

Fax 3027341921

Associated Practice Facility / Clinic

🏢 Halpern Eye Associates, P. A. Facility NPI 1306187620

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Dover, DE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -5.3 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

29 Specialists

Practicing in Dover, DE (166 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (17 Years) 17 Yrs

Dover Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	2,166	1,791	$20.00	$16.20
92134 Imaging of retina	2,133	1,695	$100.00	$39.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,860	1,755	$250.00	$126.71
99213 Established patient office or other outpatient visit, typically 15 minutes	950	777	$175.00	$89.66
92133 Imaging of optic nerve	495	425	$100.00	$34.75
92083 Exam of visual field with extended testing	453	374	$140.00	$61.21
92014 Established patient complete exam of visual system	245	244	$250.00	$122.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	190	190	$280.00	$165.16
92025 Ct scan of cornea	168	148	$110.00	$34.70
92012 Established patient problem focused exam of visual system	162	155	$175.00	$86.49
92286 Imaging of front third of eye using a special microscope	147	130	$100.00	$38.13
92250 Photography of the retina	145	134	$140.00	$36.46
92285 Photography of content of eyes	99	77	$75.00	$22.80
68761 Closure of tear duct opening using plug	63	50	$519.05	$194.45
67820 Removal of eyelashes using forceps	51	43	$117.65	$18.77
92081 Exam of visual field with limited testing	47	23	$100.00	$16.55
76514 Ultrasound scan of cornea to determine thickness	20	20	$30.00	$10.52
92020 Examination of cornea and iris using lens device and slit lamp	17	17	$60.00	$26.95
67700 Incision and drainage of eyelid abscess	17	16	$600.00	$276.89
65210 Removal of foreign body from external eye (conjunctiva or sclera)	16	15	$191.25	$38.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$250.00	$110.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,832	1,718	$250.00	$128.00
92133 Imaging of optic nerve	1,338	1,040	$99.51	$36.08
92012 Established patient problem focused exam of visual system	1,241	921	$175.00	$91.14
92134 Imaging of retina	1,110	901	$99.59	$40.57
92083 Exam of visual field with extended testing	498	419	$140.00	$63.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	288	288	$280.00	$167.87
92250 Photography of the retina	171	148	$139.30	$37.91
92025 Ct scan of cornea	121	107	$110.00	$36.00
92286 Imaging of front third of eye using a special microscope	103	96	$100.00	$39.27
92285 Photography of content of eyes	86	66	$75.00	$23.46
68761 Closure of tear duct opening using plug	46	37	$528.26	$205.94
67820 Removal of eyelashes using forceps	36	28	$130.56	$21.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$250.00	$113.45
76514 Ultrasound scan of cornea to determine thickness	30	30	$29.83	$10.89
92081 Exam of visual field with limited testing	26	18	$100.00	$18.41
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$60.00	$28.02
67700 Incision and drainage of eyelid abscess	18	15	$600.00	$291.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,697	1,582	$180.21	$129.65
92012 Established patient problem focused exam of visual system	1,343	985	$125.38	$91.63
92133 Imaging of optic nerve	1,289	957	$90.00	$36.48
92134 Imaging of retina	1,040	844	$90.00	$41.30
92083 Exam of visual field with extended testing	534	459	$140.00	$64.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	321	321	$240.00	$170.34
92250 Photography of the retina	155	133	$100.00	$38.14
92285 Photography of content of eyes	116	77	$75.00	$23.79
92025 Ct scan of cornea	96	89	$220.00	$36.14
92286 Imaging of front third of eye using a special microscope	94	88	$100.00	$39.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$160.00	$114.64
67820 Removal of eyelashes using forceps	62	46	$113.06	$20.42
68761 Closure of tear duct opening using plug	53	40	$406.79	$216.68
76514 Ultrasound scan of cornea to determine thickness	46	46	$25.00	$11.14
92081 Exam of visual field with limited testing	30	20	$100.00	$21.57
67700 Incision and drainage of eyelid abscess	26	23	$450.00	$301.44
92020 Examination of cornea and iris using lens device and slit lamp	22	22	$50.00	$28.67
65210 Removal of foreign body from external eye (conjunctiva or sclera)	13	11	$118.46	$38.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$180.00	$104.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,490	1,372	$190.19	$130.96
92012 Established patient problem focused exam of visual system	1,312	930	$126.67	$93.01
92133 Imaging of optic nerve	1,116	817	$90.00	$37.24
92134 Imaging of retina	919	720	$90.00	$42.09
92083 Exam of visual field with extended testing	460	423	$140.00	$65.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	359	359	$240.00	$172.41
92250 Photography of the retina	146	131	$130.00	$40.63
92285 Photography of content of eyes	115	94	$75.00	$23.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$160.00	$114.81
68761 Closure of tear duct opening using plug	92	67	$389.78	$216.65
92025 Ct scan of cornea	75	65	$220.00	$36.97
92286 Imaging of front third of eye using a special microscope	70	62	$100.00	$40.41
67820 Removal of eyelashes using forceps	61	49	$135.25	$23.59
76514 Ultrasound scan of cornea to determine thickness	48	48	$25.00	$11.30
92020 Examination of cornea and iris using lens device and slit lamp	45	45	$50.00	$28.83
92081 Exam of visual field with limited testing	41	28	$100.00	$20.51
67700 Incision and drainage of eyelid abscess	23	22	$469.57	$309.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$180.00	$102.86
65210 Removal of foreign body from external eye (conjunctiva or sclera)	12	12	$180.00	$38.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,002	726	$125.00	$91.72
92014 Established patient complete exam of visual system	974	904	$180.00	$130.81
92133 Imaging of optic nerve	693	562	$90.00	$37.77
92134 Imaging of retina	646	548	$90.00	$42.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	310	310	$240.00	$169.89
92083 Exam of visual field with extended testing	271	256	$140.00	$65.75
92250 Photography of the retina	79	72	$130.00	$46.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$160.00	$111.59
68761 Closure of tear duct opening using plug	68	50	$404.41	$217.85
67820 Removal of eyelashes using forceps	51	38	$131.57	$29.09
92025 Ct scan of cornea	51	50	$220.00	$38.09
92285 Photography of content of eyes	48	44	$75.00	$22.61
92286 Imaging of front third of eye using a special microscope	40	37	$99.75	$39.44
92081 Exam of visual field with limited testing	27	23	$100.00	$27.97
76514 Ultrasound scan of cornea to determine thickness	18	18	$25.00	$11.78
92020 Examination of cornea and iris using lens device and slit lamp	17	17	$50.00	$28.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$180.00	$91.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,145	807	$125.00	$89.86
92134 Imaging of retina	687	548	$90.00	$41.42
92014 Established patient complete exam of visual system	686	618	$180.00	$128.50
92133 Imaging of optic nerve	423	374	$90.00	$36.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	368	368	$240.00	$167.16
92083 Exam of visual field with extended testing	304	277	$140.00	$64.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	184	184	$160.00	$110.03
95930 Measurement of nerve conduction using visual stimulation testing with report	86	84	$250.00	$69.33
92250 Photography of the retina	82	72	$130.00	$51.64
68761 Closure of tear duct opening using plug	69	56	$392.17	$212.00
67820 Removal of eyelashes using forceps	67	58	$128.06	$33.72
92025 Ct scan of cornea	53	52	$220.00	$38.51
92081 Exam of visual field with limited testing	39	39	$100.00	$34.57
92285 Photography of content of eyes	38	38	$75.00	$22.03
92286 Imaging of front third of eye using a special microscope	33	31	$100.00	$38.77
76514 Ultrasound scan of cornea to determine thickness	33	31	$25.00	$12.18
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$50.00	$28.12
65210 Removal of foreign body from external eye (conjunctiva or sclera)	17	17	$201.18	$56.08
65222 Removal of foreign body, external eye, cornea with slit lamp examination	14	13	$321.43	$72.18
92136 Measurement of corneal curvature and depth of eye	11	11	$135.00	$32.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	949	576	$125.00	$86.61
92134 Imaging of retina	451	378	$89.97	$40.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	370	370	$159.24	$106.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	310	310	$240.00	$162.76
92133 Imaging of optic nerve	285	254	$89.53	$36.48
92083 Exam of visual field with extended testing	222	210	$139.53	$63.20
92014 Established patient complete exam of visual system	187	174	$180.00	$124.65
67820 Removal of eyelashes using forceps	87	77	$127.70	$39.89
68761 Closure of tear duct opening using plug	78	61	$375.13	$197.51
95930 Measurement of nerve conduction using visual stimulation testing with report	74	71	$300.00	$69.29
76514 Ultrasound scan of cornea to determine thickness	67	66	$26.87	$14.39
92285 Photography of content of eyes	63	61	$75.00	$19.81
92250 Photography of the retina	59	53	$128.81	$56.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	52	$146.30	$106.97
92025 Ct scan of cornea	47	42	$220.00	$37.52
92081 Exam of visual field with limited testing	41	38	$100.00	$34.25
92020 Examination of cornea and iris using lens device and slit lamp	37	35	$50.00	$26.50
92286 Imaging of front third of eye using a special microscope	28	26	$100.00	$36.83
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$111.92	$62.16
92275 Recording of retinal electrical responses to external stimuli	21	20	$300.00	$148.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	352	275	$145.00	$104.07
99213 Established patient office or other outpatient visit, typically 15 minutes	136	118	$105.00	$70.71
92014 Established patient complete exam of visual system	102	101	$130.20	$119.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$125.00	$104.94
92250 Photography of the retina	64	61	$95.00	$64.13
92133 Imaging of optic nerve	63	59	$75.00	$35.14
92083 Exam of visual field with extended testing	32	31	$125.00	$62.57
92134 Imaging of retina	29	27	$75.00	$39.77
76514 Ultrasound scan of cornea to determine thickness	29	29	$50.00	$13.80

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License DE I3-0001338

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Grp Npi

1245251313 (DE)

Commercial Insurance / Payer ID De Professional License

13-0001338 (DE)

Commercial Insurance / Payer ID Medicare Group Id

G00016 (DE)

Hospital & Practice Group Affiliations

Millsboro Eye Care Llc

28322 Lewes Georgetown Hwy, Milton, DE 199683117

Phone: 3026842020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Dr. Priti Patel , OD

Optometrist

NPI 1093895260

Doctor of Optometry

Dr. Patricia Sparks , OD

Optometrist

NPI 1124128715

Doctor of Optometry

Dr. Dennis Mirra , OD

Optometrist

NPI 1295720522

Doctor of Optometry

Dr. Troy Raber , OD

Optometrist

NPI 1356315394

Doctor of Optometry

Dr. Robert Wagoner , OD

Optometrist

NPI 1568551265

Doctor of Optometry

Dr. Jessica Vanek , OD

Optometrist

NPI 1578753984

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 13, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 13, 2010

Registered at 885 S GOVERNORS AVE, DOVER, DE 199044158 (Tel: 3027341472)

📍

Updated Business Mailing Address September 13, 2010

Registered at 885 S GOVERNORS AVE, DOVER, DE 199044158 (Tel: 3027341472)

👤

Provider Name / Credentials Updated September 13, 2010

Recorded as TIMOTHY SMITH, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2010

Optometrist (License #I3-0001338 in DE)

🟢

Initial NPI Registration & Enumeration August 13, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356573141

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 13, 2009

Last Update: September 13, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

885 S Governors Ave

Dover, DE 199044158

Phone: 3027341472

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.