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DR. TIMOTHY MICHAEL MILBURN O.D.
NPI 1306929641
Optometrist in Plano, TX

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
4160 W SPRING CREEK PKWY STE 100, PLANO, TX 75024(330) 725-4680(330) 725-2010 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2023, Sep 22, 2020, Aug 8, 2020 (3 updates tracked since 2020).

About Dr. Timothy Michael Milburn O.d. NPPES

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

DR. TIMOTHY MICHAEL MILBURN O.D. (NPI 1306929641) is an individual optometrist in Plano, Texas, licensed in Ohio (5133) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2000).

NPPES Registry Identity

NPI1306929641
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TIMOTHY MICHAEL MILBURNCredential: O.D.
Location Address4160 W SPRING CREEK PKWY STE 100Plano, TX 75024-5317
Mailing Address4160 W Spring Creek Pkwy Ste 100Plano, TX 75024-5317 · (330) 416-4569
Phone(330) 725-4680
Fax(330) 725-2010
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2000
Enumeration DateOctober 23, 2006
Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1306929641 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 · 5133
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.
4160 W SPRING CREEK PKWY STE 100, Plano, TX 75024
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Other Identifiers 1

Medicaid2195833OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Louisiana 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 and accepts Medicare assignment

Dr. Timothy Michael Milburn 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 ID9537116363
PECOS Enrollment IDI20200914001758
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 Milburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drs Milburn-Plano LLC
Same address
Optometrist
4160 W SPRING CREEK PKWY STE 100
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1316550411 (330) 416-4569
Drs. Milburn-Frisco, PLLC
6.3 mi
Optometrist
7932 PRESTON RD STE 100
Frisco, TX 75034
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1285216168 (330) 416-4569

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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services57 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
52 services47 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.
45 services36 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
42 services39 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
23 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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 $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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

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

DRS MILBURN-PLANO LLC
Optometrist
4160 W SPRING CREEK PKWY STE 100
PLANO, TX 75024
Collin County (330) 416-4569

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 Milburn's NPI number?

The NPI number for Timothy Milburn is 1306929641. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Timothy Milburn located?

Timothy Milburn practices at 4160 W Spring Creek Pkwy Ste 100, Plano, TX 75024. The listed phone number is (330) 725-4680.

What is Timothy Milburn's specialty?

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

Is Timothy Milburn enrolled in Medicare?

Yes. Timothy Milburn 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.

Which organizations bill Medicare for Timothy Milburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Milburn reassigns Medicare benefits to 2 organizations: Drs Milburn-Plano LLC (Plano, TX) and Drs. Milburn-Frisco, PLLC (Frisco, TX). 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 Milburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Milburn accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 10 other insurers list Timothy Milburn 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 Milburn was last updated on October 20, 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.