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Active NPI 1215091616 Individual Practitioner Male Practitioner

Dr. Timothy Nelson , OD

Optometrist • Maple Grove, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Nelson, OD is a certified Optometrist practicing in Maple Grove, MN. With approximately 25 years of clinical experience since graduating from Pacific University - College Of Optometry in 2001, Dr. Nelson delivers high-quality medical care to the local community at 11330 FOUNTAINS DR.

Dr. Nelson is affiliated with Spectacle Shoppe Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of cataract with insertion of lens, new patient complete exam of visual system, established 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

11330 Fountains Dr

Maple Grove, MN 55369

Telephone 7634948063
Fax 7634948062
Associated Practice Facility / Clinic
🏢 Costco Wholesale Corporation Facility NPI 1679667927

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Maple Grove, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +6.1 yrs vs City Avg
City Avg: 18.9 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Maple Grove, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (25 Years) 25 Yrs
Maple Grove Specialty Average (18.9 Years) 18.9 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
66984 Removal of cataract with insertion of lens
1,561 12 $2.62 $1.16
92004 New patient complete exam of visual system
76 76 $172.18 $146.68
92014 Established patient complete exam of visual system
55 53 $183.98 $124.38

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2827

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
048717100 (MN)

Hospital & Practice Group Affiliations

Spectacle Shoppe Inc

2050 Silver Lake Rd Nw, New Brighton, MN 551125301

Phone: 6516363434

Secondary Practice Locations

200 Western Ave Nw

Faribault, MN 550214510

Phone: 5073347941

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1114200144

Doctor of Pharmacy (Pharm.D.)

NPI 1275829392

Registered Pharmacist

NPI 1487937579

Doctor of Pharmacy (Pharm.D.)

Dr. Robert Nelson , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1518626621

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 11, 2018

Registered at 11330 FOUNTAINS DR, MAPLE GROVE, MN 55369 (Tel: 7634948063)

📍
Updated Business Mailing Address December 11, 2018

Registered at 720 N 4TH ST UNIT 704, MINNEAPOLIS, MN 554011950 (Tel: 6127431400)

👤
Provider Name / Credentials Updated December 11, 2018

Recorded as TIMOTHY NELSON, OD

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 200 WESTERN AVE NW, FARIBAULT, MN 550214510 (Tel: 5073347941)

📍
Updated Business Mailing Address July 09, 2007

Registered at 11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 782131370 (Tel: 2105246663)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as TIM NELSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #2827 in MN)

🟢
Initial NPI Registration & Enumeration December 20, 2006

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: 1215091616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2006
Last Update: December 11, 2018
Sole Proprietor: No

Mailing Address

720 N 4th St Unit 704

Minneapolis, MN 554011950

Phone: 6127431400

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.