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NIGEL H. TIMOTHY MD
NPI 1609808146
Ophthalmology in Canton, MA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
95 WASHINGTON STREET, SUITE 592, VILLAGE SHOPPES, CANTON, MA 02021(781) 989-4744(781) 769-4794 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nigel H. Timothy Md NPPES

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

NIGEL H. TIMOTHY MD (NPI 1609808146) is an individual ophthalmology provider in Canton, Massachusetts, licensed in Massachusetts (220139) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (1999).

NPPES Registry Identity

NPI1609808146
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameNIGEL H. TIMOTHYCredential: MD
Location Address95 WASHINGTON STREET, SUITE 592, VILLAGE SHOPPESCanton, MA 02021
Mailing Address95 Washington Street, Suite 592, Village ShoppesCanton, MA 02021 · (781) 989-4744 · Fax (781) 769-4794
Phone(781) 989-4744
Fax(781) 769-4794
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1999
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 18, 2009
✔ NPI 1609808146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 220139
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.
95 WASHINGTON STREET, Canton, MA 02021
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Other Identifiers 3

Medicaid2122855MA
Medicare UPINI45342MA
Medicare PINA39378MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Nigel H. Timothy Md 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 ID7911926159
PECOS Enrollment IDI20051116000687
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 13

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.

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.
742 services345 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.
685 services313 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
382 services171 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
309 services203 patients
Exam of retinal blood vessels using a special camera after injection of a dye 92235
This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.
175 services111 patients
2d ultrasound scan of eye tissue and structures 76512
A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.
124 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02021 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
0%70 patients5/55-star benchmark: 98%
Diabetic Macular Edema - Loss of Visual Acuity
100%40 patients
e-Prescribing
100%162 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
100%72 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%98 patients
Provide Patients Electronic Access to Their Health Information
100%778 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 2

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

SHAWS SUPERMARKETS INC
Pharmacy (Community/Retail Pharmacy)
95 WASHINGTON STREET
CANTON, MA 02021
Norfolk County (781) 298-4400
ADIB I LAKIS P.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
95 WASHINGTON STREET, SUITE 472
CANTON, MA 02021
Norfolk County (781) 821-2120

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 Nigel Timothy's NPI number?

The NPI number for Nigel Timothy is 1609808146. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Nigel Timothy located?

Nigel Timothy practices at 95 Washington Street Suite 592, Village Shoppes, Canton, MA 02021. The listed phone number is (781) 989-4744.

What is Nigel Timothy's specialty?

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

Is Nigel Timothy enrolled in Medicare?

Yes. Nigel Timothy 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 Nigel Timothy accept?

Health plans from Anthem Blue Cross and Blue Shield list Nigel Timothy 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 Nigel Timothy was last updated on November 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.