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Active NPI 1699762047 Individual Practitioner Male Practitioner

Dr. Timothy Dane Shelley , OD

Optometrist • Pekin, IL

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Shelley, OD is a registered healthcare professional specializing in Optometrist in Pekin, IL. Practice services are available at 3287 COURT ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3287 Court St

Pekin, IL 615546208

Telephone 3093539313
Fax 3093534962
Associated Practice Facility / Clinic
🏢 J A K Enterprises Inc Facility NPI 1164476354

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Pekin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Pekin, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
0.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
41 41 $95.29 $95.06
92004 New patient complete exam of visual system
15 15 $99.00 $98.46

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046006644

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

Medicaid State Provider ID
046006644 (IL)
Commercial Insurance / Payer ID Medicare Railroad
410033413 (IL)
Commercial Insurance / Payer ID Bcbs
7215175 (IL)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1033781562

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 January 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2014

Registered at 3287 COURT ST, PEKIN, IL 615546208 (Tel: 3093539313)

📍
Updated Business Mailing Address January 10, 2014

Registered at 8309 N KNOXVILLE AVE, PEORIA, IL 616152170 (Tel: 3096939540)

👤
Provider Name / Credentials Updated January 10, 2014

Recorded as TIMOTHY SHELLEY, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2014

Optometrist (License #046006644 in IL)

🟢
Initial NPI Registration & Enumeration September 30, 2005

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: 1699762047
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2005
Last Update: January 10, 2014
Sole Proprietor: No

Mailing Address

8309 N Knoxville Ave

Peoria, IL 616152170

Phone: 3096939540

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.