TIMOTHY ALLEN SPECK O.D.
NPI 1093067324
Optometrist in Forest Grove, OR

Q: What is Timothy Speck's NPI number?

The NPI number for Timothy Speck is 1093067324. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Q: What is Timothy Speck's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Speck was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 10, 2012PECOS Enrolled

2144 HAWTHORNE ST, APT 56, FOREST GROVE, OR 97116(217) 416-9452 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Timothy Allen Speck O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY ALLEN SPECK O.D. (NPI 1093067324) is an individual optometrist in Forest Grove, Oregon, licensed in Oregon (3631ATI) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093067324

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTIMOTHY ALLEN SPECKCredential: O.D.

Location Address2144 HAWTHORNE ST, APT 56Forest Grove, OR 97116-1749

Mailing Address1406 Ne 69th AvePortland, OR 97213-5302

Phone(217) 416-9452

Sole ProprietorYes

Enumeration DateOctober 10, 2012

Last NPPES UpdateOctober 8, 2015

✔ NPI 1093067324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OR · 3631ATI

Definition

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.

2144 HAWTHORNE ST, Forest Grove, OR 97116

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Allen Speck O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Speck's NPI number?

The NPI number for Timothy Speck is 1093067324. It was assigned to this individual provider in the NPPES registry on October 10, 2012.

Where is Timothy Speck located?

Timothy Speck practices at 2144 Hawthorne St Apt 56, Forest Grove, OR 97116. The listed phone number is (217) 416-9452.

What is Timothy Speck's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Timothy Speck enrolled in Medicare?

Yes. Timothy Speck is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Speck accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Timothy Speck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Speck was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.