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DR. TIMOTHY JOSEPH LIEBERENZ OD
NPI 1205613783
Optometrist in White City, OR

Active since September 11, 2023PECOS EnrolledAccepts Medicare Assignment
8495 CRATER LAKE HWY, WHITE CITY, OR 97503(541) 826-2111 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Timothy Joseph Lieberenz Od NPPES

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

DR. TIMOTHY JOSEPH LIEBERENZ OD (NPI 1205613783) is an individual optometrist in White City, Oregon, licensed in Oregon (ATI4707) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2023).

NPPES Registry Identity

NPI1205613783
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TIMOTHY JOSEPH LIEBERENZCredential: OD
Location Address8495 CRATER LAKE HWYWhite City, OR 97503-3011
Mailing AddressPo Box 1082Merlin, OR 97532-1082 · (541) 279-4792
Phone(541) 826-2111
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2023
Enumeration DateSeptember 11, 2023
NPPES CertifiedSeptember 9, 2023
✔ NPI 1205613783 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 · ATI4707
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.
8495 CRATER LAKE HWY, White City, OR 97503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 and accepts Medicare assignment

Dr. Timothy Joseph Lieberenz Od 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 ID6002352655
PECOS Enrollment IDI20240719001432
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.

Areas of Expertise CMS Part B claims 2

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 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.
37 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97503 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 20

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

ADRIAN ANTHONY GARIBAY
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
KANDICE DRAAYER RN
Registered Nurse (Psychiatric/Mental Health, Adult)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
WHITE CITY VAMC
General Acute Care Hospital
8495 CRATER LAKE HWY, VA SORCC
WHITE CITY, OR 97503
Jackson County (702) 341-3164
MR. KEVIN LEONARD WILLIAMS MSW, LCSW
Social Worker (Clinical)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
DR. ERIC GUSTAFSON PHARM.D.
Pharmacist
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
LYN WAYNE SHEPERD
Registered Nurse
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
JEAN EILEEN MOUNT
Nurse Practitioner (Adult Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111
MR. MICHAEL JOHN OMALLEY M.S., LPC, LMHC
Counselor (Mental Health)
8495 CRATER LAKE HWY
WHITE CITY, OR 97503
Jackson County (541) 826-2111

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 Lieberenz's NPI number?

The NPI number for Timothy Lieberenz is 1205613783. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Timothy Lieberenz located?

Timothy Lieberenz practices at 8495 Crater Lake Hwy, White City, OR 97503. The listed phone number is (541) 826-2111.

What is Timothy Lieberenz's specialty?

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

Is Timothy Lieberenz enrolled in Medicare?

Yes. Timothy Lieberenz 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.

What insurance does Timothy Lieberenz accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Providence Health Plan and 1 other insurer list Timothy Lieberenz 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 Lieberenz was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.