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DR. TIMOTHY PHILIP ANDERSON O.D.
NPI 1780741959
Optometrist in Hendersonville, NC

Active since January 03, 2007PECOS Enrolled
3450 ASHEVILLE HWY, HENDERSONVILLE, NC 28791(828) 692-2593(828) 693-5558 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Timothy Philip Anderson O.d. NPPES

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

DR. TIMOTHY PHILIP ANDERSON O.D. (NPI 1780741959) is an individual optometrist in Hendersonville, North Carolina, licensed in North Carolina (1484) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (1991).

NPPES Registry Identity

NPI1780741959
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TIMOTHY PHILIP ANDERSONCredential: O.D.
Location Address3450 ASHEVILLE HWYHendersonville, NC 28791-0701
Mailing Address69 N Wintergarden RdFletcher, NC 28732-8211 · (828) 681-8312 · Fax (828) 693-5558
Phone(828) 692-2593
Fax(828) 693-5558
Sole ProprietorYes
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 1991
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJanuary 16, 2014
✔ NPI 1780741959 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 NC · 1484
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.
3450 ASHEVILLE HWY, Hendersonville, NC 28791
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Other Identifiers 6

Other2280036NC · United Healthcare Of Nc
Other0968ANC · Bcbs Of Nc
OtherP00041341NC · Railroad Medicare
Medicare UPINU51005NC
Medicare ID-Type Unspecified2469207ENC
Medicaid890968ANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Timothy Philip Anderson O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193717817
PECOS Enrollment IDI20040401001320
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 Reassignment

Medicare enrollment records show Timothy Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Timothy P. Anderson, O.D., P.A.
Same address
Optometrist
3450 ASHEVILLE HWY
Hendersonville, NC 28791
  • Reassigned Medicare billing, North Carolina enrollment
  • 2 clinicians in this Medicare group
NPI 1588930846 (828) 692-2593

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.
257 services255 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.
111 services87 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
82 services66 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
62 services59 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.
42 services36 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.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28791 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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
100%43 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 3

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

DR. DOUGLAS BERNARD HEIM O.D.
Optometrist
3450 ASHEVILLE HWY
HENDERSONVILLE, NC 28791
Henderson County (828) 692-2593
DOUGLAS B. HEIM, O.D.
Optometrist
3450 ASHEVILLE HWY
HENDERSONVILLE, NC 28791
Henderson County (828) 692-2593
TIMOTHY P. ANDERSON, O.D., P.A.
Optometrist
3450 ASHEVILLE HWY
HENDERSONVILLE, NC 28791
Henderson County (828) 692-2593

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 Anderson's NPI number?

The NPI number for Timothy Anderson is 1780741959. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Timothy Anderson located?

Timothy Anderson practices at 3450 Asheville Hwy, Hendersonville, NC 28791. The listed phone number is (828) 692-2593.

What is Timothy Anderson's specialty?

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

Is Timothy Anderson enrolled in Medicare?

Yes. Timothy Anderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Anderson reassigns Medicare benefits to Timothy P. Anderson, O.D., P.A. (Hendersonville, NC). 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 Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Anderson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 10 other insurers list Timothy Anderson 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 Anderson was last updated on January 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.