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TIMOTHY E GORDON M.D.
NPI 1750320453
Ophthalmology in Columbia, TN

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
75.77/100
CMS Quality Rating
1050 N JAMES CAMPBELL BLVD STE 100, COLUMBIA, TN 38401(931) 375-1050(931) 380-9269 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy E Gordon M.d. NPPES

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

TIMOTHY E GORDON M.D. (NPI 1750320453) is an individual ophthalmology provider in Columbia, Tennessee, licensed in Tennessee (TN16081) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1984).

NPPES Registry Identity

NPI1750320453
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTIMOTHY E GORDONCredential: M.D.
Location Address1050 N JAMES CAMPBELL BLVD STE 100Columbia, TN 38401-2754
Mailing Address1050 N James Campbell Blvd Ste 100Columbia, TN 38401-2754 · (931) 375-1050 · Fax (931) 380-9269
Phone(931) 375-1050
Fax(931) 380-9269
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1984
Enumeration DateJune 6, 2006
Last NPPES UpdateNovember 25, 2020
NPPES CertifiedNovember 25, 2020
✔ NPI 1750320453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TN · TN16081
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.
1050 N JAMES CAMPBELL BLVD STE 100, Columbia, TN 38401
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Other Identifiers 1

Other86394TN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Timothy E Gordon 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 ID4587758453
PECOS Enrollment IDI20071203000388
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 14

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 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.
1,485 services1,303 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.
558 services539 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.
330 services294 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
276 services177 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
235 services143 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
205 services205 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

75.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost19.24

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
97%130 patients4/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%456 patients
Diabetes: Eye Exam
99%687 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%617 patients4/55-star benchmark: 91%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
93%181 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
95%521 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%29 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 1,000 patients
Patients screened: 94% · 1,000 patients
63%65 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%434 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 2,688 patients
Patients totalRate: 0% · 2,688 patients
0%2,688 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
8 suppliers27 claims27 services$51.82 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers25 claims49 services$17.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

RALPH F HAMILTON M.D.
Ophthalmology
1050 N JAMES CAMPBELL BLVD STE 100
COLUMBIA, TN 38401
Maury County (931) 375-1050

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 Gordon's NPI number?

The NPI number for Timothy Gordon is 1750320453. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Timothy Gordon located?

Timothy Gordon practices at 1050 N James Campbell Blvd Ste 100, Columbia, TN 38401. The listed phone number is (931) 375-1050.

What is Timothy Gordon's specialty?

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

Is Timothy Gordon enrolled in Medicare?

Yes. Timothy Gordon 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 Gordon accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Timothy Gordon 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 Gordon was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.