TIMOTHY JAMES DORAN OD
NPI 1538144076
Optometrist in Riverside, CA
About Timothy James Doran Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY JAMES DORAN OD (NPI 1538144076) is an individual optometrist in Riverside, California, licensed in California (OPT8455T) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Timothy James Doran 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.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Doran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92507
- Reassigned Medicare billing, California enrollment
- 349 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
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 Doran's NPI number?
The NPI number for Timothy Doran is 1538144076. It was assigned to this individual provider in the NPPES registry on December 7, 2005.
Where is Timothy Doran located?
Timothy Doran practices at 6405 Day St, Riverside, CA 92507. The listed phone number is (951) 697-5480.
What is Timothy Doran's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Timothy Doran enrolled in Medicare?
Yes. Timothy Doran 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 organization bills Medicare for Timothy Doran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Doran reassigns Medicare benefits to Riverside Medical Clinic, Inc (Riverside, CA). The 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 Doran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Doran accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Timothy Doran 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 Doran was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Timothy James Doran, OD · NPI 1538144076
Optometrist provider in Riverside, California. Individual provider, active in the CMS NPPES registry since December 7, 2005.
## Identity
- **NPI:** 1538144076 (Entity type: Individual)
- **Enumerated:** December 7, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT8455T (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6405 DAY ST, Riverside, CA 92507-0901
- **Phone:** (951) 697-5480 · **Fax:** (951) 697-5486
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Riverside Medical Clinic, Inc (NPI 1780782557, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** April 15, 2025
- **Other identifiers:** Other ZZZZ92058Z
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Source: [NPI Profile](https://npiprofile.com/npi/1538144076) · Data from the CMS NPPES public registry.