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DR. TIMOTHY D VORGIAS O.D.
NPI 1609157304
Optometrist in Three Rivers, MI

Active since September 08, 2011PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
56847 N MAIN ST, THREE RIVERS, MI 49093(269) 273-2020 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Timothy D Vorgias O.d. NPPES

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

DR. TIMOTHY D VORGIAS O.D. (NPI 1609157304) is an individual optometrist in Three Rivers, Michigan, licensed in Michigan (4901004892) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Muskegon, and is a graduate of Ferris State College - College Of Optometry (2015).

NPPES Registry Identity

NPI1609157304
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TIMOTHY D VORGIASCredential: O.D.
Location Address56847 N MAIN STThree Rivers, MI 49093-9615
Mailing Address4225 Mccabe Ave NeAda, MI 49301-9737
Phone(269) 273-2020
Sole ProprietorYes
Medical School CMSFerris State College - College Of OptometryGraduated 2015
Enumeration DateSeptember 8, 2011
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1609157304 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 MI · 4901004892
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.
56847 N MAIN ST, Three Rivers, MI 49093
Open in Google Maps ↗

Secondary Practice Location 1

Location 11266 E Sherman BlvdMuskegon, MI 49444-1847 · Phone (231) 273-9900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, 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 D Vorgias 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 ID9335452036
PECOS Enrollment IDI20150724010001
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 Vorgias reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cherry Street Services Inc
51 mi
Federally Qualified Health Center (FQHC)
330 W WOODLAWN AVE
Hastings, MI 49058
  • Reassigned Medicare billing, Michigan enrollment
  • 115 clinicians in this Medicare group
NPI 1265862841 (965) 945-4220
Shoreline Ophthalmology, PLLC
80 mi
Ophthalmology
1445 SHELDON RD STE 100, HARBOR DUNES HEALTH CENTER
Grand Haven, MI 49417
  • Reassigned Medicare billing, Michigan enrollment
  • 10 clinicians in this Medicare group
NPI 1790841658 (231) 739-9009

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 8

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 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.
139 services136 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.
81 services80 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.
79 services69 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 services33 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.
41 services41 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.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49093 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.49
Promoting Interoperability100
Improvement Activities40
Cost16.37

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
97%35 patients4/55-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 3

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

THREE RIVERS EYECARE PC
Eyewear Supplier
56847 N MAIN ST
THREE RIVERS, MI 49093
St. Joseph County (269) 273-5825
BENNETT OPTOMETRY LLC
Optometrist
56847 N MAIN ST
THREE RIVERS, MI 49093
St. Joseph County (636) 200-4393
DR. ASHLEY KAYE FRITZ OD
Optometrist
56847 N MAIN ST
THREE RIVERS, MI 49093
St. Joseph County (269) 273-2020

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 Vorgias's NPI number?

The NPI number for Timothy Vorgias is 1609157304. It was assigned to this individual provider in the NPPES registry on September 8, 2011.

Where is Timothy Vorgias located?

Timothy Vorgias practices at 56847 N Main St, Three Rivers, MI 49093. The listed phone number is (269) 273-2020.

What is Timothy Vorgias's specialty?

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

Is Timothy Vorgias enrolled in Medicare?

Yes. Timothy Vorgias 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 Vorgias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Vorgias reassigns Medicare benefits to 2 organizations: Cherry Street Services Inc (Hastings, MI) and Shoreline Ophthalmology, PLLC (Grand Haven, MI). 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 Vorgias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Vorgias accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 13 other insurers list Timothy Vorgias 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 Vorgias was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.