TIMOTHY NELSON OD
NPI 1215091616
Optometrist in Maple Grove, MN

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
11330 FOUNTAINS DR, MAPLE GROVE, MN 55369(763) 494-8063(763) 494-8062 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy Nelson Od NPPES

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

TIMOTHY NELSON OD (NPI 1215091616) is an individual optometrist in Maple Grove, Minnesota, licensed in Minnesota (2827) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Faribault, and is a graduate of Pacific University - College Of Optometry (2001).

NPPES Registry Identity

NPI1215091616
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTIMOTHY NELSONCredential: OD
Location Address11330 FOUNTAINS DRMaple Grove, MN 55369
Mailing Address720 N 4th St Unit 704Minneapolis, MN 55401-1950 · (612) 743-1400 · Fax (763) 494-8062
Fax(763) 494-8062
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2001
Enumeration DateDecember 20, 2006
Last NPPES UpdateDecember 11, 2018
NPI 1215091616 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 MN · 2827
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.

11330 FOUNTAINS DR, Maple Grove, MN 55369

Secondary Practice Location 1

Location 1200 Western Ave NWFaribault, MN 55021-4510 · Phone (507) 334-7941 · Fax (507) 334-9616

Other Identifiers 1

Medicaid048717100MN

Accepted 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

Timothy Nelson 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 ID8628060548
PECOS Enrollment IDI20040331001560
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 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.

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.
1,561 services12 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
76 services76 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.
55 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 9

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

Optometrist
11330 FOUNTAINS DR
MAPLE GROVE, MN 55369
Pharmacist
11330 FOUNTAINS DR
MAPLE GROVE, MN 55369
Hearing Aid Equipment
11330 FOUNTAINS DR
MAPLE GROVE, MN 55369
Optometrist
11330 FOUNTAINS DR
MAPLE GROVE, MN 55369
Eyewear Supplier
11330 FOUNTAINS DR
MAPLE GROVE, MN 55369
Pharmacist
11330 FOUNTAINS DR
MAPLE GROVE, MN 55369
Pharmacist
11330 FOUNTAINS DR
MAPLE GROVE, MN 55369
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
11330 FOUNTAINS DR
MAPLE GROVE, MN 55369

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 Nelson's NPI number?

The NPI number for Timothy Nelson is 1215091616. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Timothy Nelson located?

Timothy Nelson practices at 11330 Fountains Dr, Maple Grove, MN 55369. The listed phone number is (763) 494-8063.

What is Timothy Nelson's specialty?

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

Is Timothy Nelson enrolled in Medicare?

Yes. Timothy Nelson 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 Nelson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Timothy Nelson 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 Nelson was last updated on December 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.