DR. TIMOTHY H. BLANKENBEKER O.D.
NPI 1316146798
Optometrist in Mishawaka, IN

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment
89.85/100
CMS Quality Rating
230 E DAY RD STE 100, MISHAWAKA, IN 46545(574) 271-3939(574) 271-3941 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Timothy H. Blankenbeker O.d. NPPES

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

DR. TIMOTHY H. BLANKENBEKER O.D. (NPI 1316146798) is an individual optometrist in Mishawaka, Indiana, licensed in Indiana (18003467B) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Southern College Of Optometry (2007).

NPPES Registry Identity

NPI1316146798
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TIMOTHY H. BLANKENBEKERCredential: O.D.
Location Address230 E DAY RD STE 100Mishawaka, IN 46545-3408
Mailing Address230 E Day Rd Ste 100Mishawaka, IN 46545-3408 · (574) 271-3939 · Fax (574) 271-3941
Fax(574) 271-3941
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2007
Enumeration DateJuly 16, 2007
Last NPPES UpdateApril 11, 2019
NPI 1316146798 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 IN · 18003467B
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.

230 E DAY RD STE 100, Mishawaka, IN 46545

Secondary Practice Locations 4

Location 1319 N Niles Ave Ste 100South Bend, IN 46617-2328 · Phone (574) 282-2020 · Fax (574) 288-2020
Location 21747 Stafford CtGoshen, IN 46526-6542 · Phone (574) 533-0100 · Fax (574) 534-8088
Location 32216 Cassopolis StElkhart, IN 46514-5133 · Phone (574) 266-2111 · Fax (574) 266-0555
Location 4320 Meadow LnPlymouth, IN 46563-9394 · Phone (574) 935-4480 · Fax (574) 941-2040

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

Dr. Timothy H. Blankenbeker 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 ID9335231661
PECOS Enrollment IDI20070816000474
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 9

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.
254 services126 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.
170 services169 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.
56 services48 patients
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.
42 services34 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.
38 services38 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.
32 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost66.18

Other Providers at the Same Location NPPES 7

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

Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Ophthalmology
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545
Optometrist
230 E DAY RD STE 100
MISHAWAKA, IN 46545

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 Blankenbeker's NPI number?

The NPI number for Timothy Blankenbeker is 1316146798. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Timothy Blankenbeker located?

Timothy Blankenbeker practices at 230 E Day Rd Ste 100, Mishawaka, IN 46545. The listed phone number is (574) 271-3939.

What is Timothy Blankenbeker's specialty?

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

Is Timothy Blankenbeker enrolled in Medicare?

Yes. Timothy Blankenbeker 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 Blankenbeker 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, CareSource and Providence Health Plan list Timothy Blankenbeker 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 Blankenbeker was last updated on April 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.