TIMITHY M. DUNHAM M.D.
NPI 1477569424
Ophthalmology in San Antonio, TX

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7400 LOUIS PASTEUR DR, STE 200, SAN ANTONIO, TX 78229(210) 614-3333(210) 697-9952 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timithy M. Dunham M.d. NPPES

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

TIMITHY M. DUNHAM M.D. (NPI 1477569424) is an individual ophthalmology provider in San Antonio, Texas, licensed in Texas (G2532) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1981).

NPPES Registry Identity

NPI1477569424
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTIMITHY M. DUNHAMCredential: M.D.
Location Address7400 LOUIS PASTEUR DR, STE 200San Antonio, TX 78229-4542
Mailing Address7400 Louis Pasteur Dr, Ste 200San Antonio, TX 78229-4542 · (210) 614-3333 · Fax (210) 697-9952
Fax(210) 697-9952
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1981
Enumeration DateJuly 31, 2006
Last NPPES UpdateJanuary 12, 2017
NPI 1477569424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · G2532
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
7400 LOUIS PASTEUR DR, San Antonio, TX 78229

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

Timithy M. Dunham M.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 ID1951391689
PECOS Enrollment IDI20040514000905
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 17

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
578 services261 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.
291 services280 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.
264 services215 patients
Extended exam involving color vision testing 92283
An extended exam involving color vision testing helps identify any difficulties in distinguishing colors, often due to genetic conditions or health problems. This non-invasive test involves identifying different colored numbers or patterns.
169 services165 patients
Pattern recording of retinal electrical responses to external stimuli with interpretation and report 0509T
This procedure records the electrical responses of your retina to light stimuli. It helps understand how your eye cells are functioning. A report is prepared interpreting the results, aiding in diagnosis and treatment planning.
133 services133 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
127 services105 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
1%163 patients
Diabetes: Eye Exam
100%455 patients5/55-star benchmark: 100%
Diabetic Macular Edema - Loss of Visual Acuity
100%20 patients
Documentation of Current Medications in the Medical Record
97%3,320 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
86%504 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%254 patients
Tobacco Use and Help with Quitting Among Adolescents
96%72 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 816 patients
Patients totalRate: 0% · 816 patients
0%816 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Dentist (General Practice)
7400 LOUIS PASTEUR DR, #205
SAN ANTONIO, TX 78229
Durable Medical Equipment & Medical Supplies
7400 LOUIS PASTEUR DR, STE. 112
SAN ANTONIO, TX 78229
Audiologist
7400 LOUIS PASTEUR DR, # 102
SAN ANTONIO, TX 78229
Acupuncturist
7400 LOUIS PASTEUR DR
SAN ANTONIO, TX 78229
Prosthetic/Orthotic Supplier
7400 LOUIS PASTEUR DR, STE 202
SAN ANTONIO, TX 78229
Counselor (Professional)
7400 LOUIS PASTEUR DR, STE. 211
SAN ANTONIO, TX 78229
Audiologist
7400 LOUIS PASTEUR DR, SUITE 102
SAN ANTONIO, TX 78229

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 Timithy Dunham's NPI number?

The NPI number for Timithy Dunham is 1477569424. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Timithy Dunham located?

Timithy Dunham practices at 7400 Louis Pasteur Dr Ste 200, San Antonio, TX 78229. The listed phone number is (210) 614-3333.

What is Timithy Dunham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Timithy Dunham enrolled in Medicare?

Yes. Timithy Dunham 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 Timithy Dunham accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Timithy Dunham 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 Timithy Dunham was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.