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DR. TIMOTHY C. KARG O.D.
NPI 1114995255
Optometrist in Wooster, OH

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
370 E MILLTOWN RD, WOOSTER, OH 44691(330) 345-3871(330) 345-2011 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Timothy C. Karg O.d. NPPES

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

DR. TIMOTHY C. KARG O.D. (NPI 1114995255) is an individual optometrist in Wooster, Ohio, licensed in Ohio (3474T985) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1980).

NPPES Registry Identity

NPI1114995255
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TIMOTHY C. KARGCredential: O.D.
Location Address370 E MILLTOWN RDWooster, OH 44691-1280
Mailing Address370 E Milltown RdWooster, OH 44691-1280 · (330) 345-3871 · Fax (330) 345-2011
Phone(330) 345-3871
Fax(330) 345-2011
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 1980
Enumeration DateMarch 14, 2006
Last NPPES UpdateOctober 3, 2011
✔ NPI 1114995255 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 OH · 3474T985
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.
370 E MILLTOWN RD, Wooster, OH 44691
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Other Identifiers 4

Medicare NSC0240000001
Medicare ID-Type UnspecifiedT47872OH
Medicare UPINT47872OH
Medicaid0534992OH

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, revalidation, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy C. Karg O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012021595
PECOS Enrollment IDI20120321000924
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 Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20100930044370DME · Physician - OptometristDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 4

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
3,336 services24 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.
199 services196 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
51 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44691 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

DR. JOEL A KENNEDY O.D.
Optometrist
370 E MILLTOWN RD
WOOSTER, OH 44691
Wayne County (330) 345-3620
DR. THOMAS RICHARD ZACHER DDS
Dentist
370 E MILLTOWN RD
WOOSTER, OH 44691
Wayne County (330) 345-5858

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 Karg's NPI number?

The NPI number for Timothy Karg is 1114995255. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Timothy Karg located?

Timothy Karg practices at 370 E Milltown Rd, Wooster, OH 44691. The listed phone number is (330) 345-3871.

What is Timothy Karg's specialty?

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

Is Timothy Karg enrolled in Medicare?

Yes. Timothy Karg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When is Timothy Karg's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this provider (Ohio, Physician - Optometrist) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Timothy Karg 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 10 other insurers list Timothy Karg 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 Karg was last updated on October 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.