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TIMOTHY EDWARD BRAIM OD
NPI 1104939651
Optometrist in Delmar, NY

Active since August 17, 2006PECOS Enrolled
228 DELAWARE AVE, DELMAR, NY 12054(518) 439-7012(518) 541-3757 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Timothy Edward Braim Od NPPES

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

TIMOTHY EDWARD BRAIM OD (NPI 1104939651) is an individual optometrist in Delmar, New York, licensed in New York (TUV004260-1) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1983).

NPPES Registry Identity

NPI1104939651
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTIMOTHY EDWARD BRAIMCredential: OD
Location Address228 DELAWARE AVEDelmar, NY 12054-1244
Mailing Address2 Highview WayMechanicville, NY 12118-3641 · (518) 859-3936 · Fax (518) 541-3757
Phone(518) 439-7012
Fax(518) 541-3757
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1983
Enumeration DateAugust 17, 2006
Last NPPES UpdateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1104939651 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 NY · TUV004260-1
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.
228 DELAWARE AVE, Delmar, NY 12054
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Other Identifiers 1

Medicaid00854348NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Edward Braim Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870616634
PECOS Enrollment IDI20110308000958
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Braim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Buenau's Opticians Inc
Same address
Durable Medical Equipment & Medical Supplies
228 DELAWARE AVE
Delmar, NY 12054
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Buenaus Opticians Inc
  • 5 clinicians in this Medicare group
NPI 1659425650 (518) 439-7012
New York Optometry Professional PLLC
83 mi
Optometrist
75 MAIN ST
Sidney, NY 13838
  • Reassigned Medicare billing, New York enrollment
  • 56 clinicians in this Medicare group
NPI 1598470544 (607) 563-7551

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
245 services187 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
158 services135 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
95 services95 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12054 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY PAUL BUENAU OPTICIAN
Technician/Technologist (Optician)
228 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 439-7012
MICHAEL PAUL BUENAU I
Technician/Technologist (Optician)
228 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 439-7012
DR. JUDY PARK REVAI OD
Optometrist
228 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 439-7012
DR. PATRICK TITTERINGTON OD
Optometrist
228 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 754-4660
BUENAU'S OPTICIANS INC
Durable Medical Equipment & Medical Supplies
228 DELAWARE AVE
DELMAR, NY 12054
Albany County (518) 439-7012

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 Braim's NPI number?

The NPI number for Timothy Braim is 1104939651. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Timothy Braim located?

Timothy Braim practices at 228 Delaware Ave, Delmar, NY 12054. The listed phone number is (518) 439-7012.

What is Timothy Braim's specialty?

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

Is Timothy Braim enrolled in Medicare?

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

Which organizations bill Medicare for Timothy Braim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Braim reassigns Medicare benefits to 2 organizations: Buenau's Opticians Inc (Delmar, NY) and New York Optometry Professional PLLC (Sidney, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Braim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Braim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Timothy Braim 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 Braim was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.