DR. TIMOTHY JAMES BARRON MD
NPI 1912981994
Ophthalmology in Grand Haven, MI

Q: What is Timothy Barron's NPI number?

The NPI number for Timothy Barron is 1912981994. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Q: What is Timothy Barron's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Timothy Barron was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment

74.46/100

CMS Quality Rating

1445 SHELDON RD, STE 100, GRAND HAVEN, MI 49417(616) 842-1680(616) 842-8269 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Timothy James Barron Md NPPES

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

DR. TIMOTHY JAMES BARRON MD (NPI 1912981994) is an individual ophthalmology provider in Grand Haven, Michigan, licensed in Michigan (4301074314) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Grand Haven Hospital, and is a graduate of Wayne State University School Of Medicine (1991).

NPPES Registry Identity

NPI1912981994

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. TIMOTHY JAMES BARRONCredential: MD

Location Address1445 SHELDON RD, STE 100Grand Haven, MI 49417-2480

Mailing Address1445 Sheldon Rd, Ste 100Grand Haven, MI 49417-2480 · (616) 842-1680 · Fax (616) 842-8269

Phone(616) 842-1680

Fax(616) 842-8269

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1991

Enumeration DateDecember 2, 2005

Last NPPES UpdateOctober 12, 2020

NPPES CertifiedOctober 12, 2020

✔ NPI 1912981994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MI · 4301074314

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.

1445 SHELDON RD, Grand Haven, MI 49417

Open in Google Maps ↗

Other Identifiers 1

Medicaid4284215MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 James Barron 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 ID4587676978

PECOS Enrollment IDI20120427000532

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 Barron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shoreline Ophthalmology, PLLC

Same address

Ophthalmology

1445 SHELDON RD STE 100, HARBOR DUNES HEALTH CENTER
Grand Haven, MI 49417

Reassigned Medicare billing, Michigan enrollment
7 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 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.

545 services508 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.

226 services145 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.

205 services121 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.

182 services156 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).

127 services123 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.

125 services125 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.

115 services114 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

114 services107 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.

78 services75 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

77 services53 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.

73 services73 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

49 services49 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.

17 services17 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230174

Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49417 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

Quality

98.49

Promoting Interoperability

100

Improvement Activities

Cost

16.37

Referred Medical Equipment & Supplies CMS DME claims

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

3 suppliers16 claims16 services$60.68 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 20

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

MEGAN AUFFREY ZAMBIASI MA, LLP

Psychologist

1445 SHELDON RD
GRAND HAVEN, MI 49417

Ottawa County (616) 847-5145

SHAWN PATRICK REIDY MD

Family Medicine

1445 SHELDON RD, STE 300
GRAND HAVEN, MI 49417

Ottawa County (616) 296-1500

PINE REST CHRISTIAN MENTAL HEALTH SERVICES

Psychiatry & Neurology (Psychiatry)

1445 SHELDON RD, HARBOR DUNES HEALTH CENTER
GRAND HAVEN, MI 49417

Ottawa County (616) 847-5145

JENNIFER MARIE ZERKLE FNP-C

Nurse Practitioner

1445 SHELDON RD
GRAND HAVEN, MI 49417

Ottawa County (616) 296-1550

RICHARD ANTHONY BASZLER II D.O.

Orthopaedic Surgery

1445 SHELDON RD
GRAND HAVEN, MI 49417

Ottawa County (616) 296-9100

SHORELINE OPTICAL, LLC

Eyewear Supplier

1445 SHELDON RD, SUITE 100
GRAND HAVEN, MI 49417

Ottawa County (231) 739-9009

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Internal Medicine

1445 SHELDON RD
GRAND HAVEN, MI 49417

Ottawa County (616) 846-1860

KAYLIE DIONNE WATERS RN, BSN

Nurse Practitioner

1445 SHELDON RD, STE 300
GRAND HAVEN, MI 49417

Ottawa County (616) 296-1500

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 Barron's NPI number?

The NPI number for Timothy Barron is 1912981994. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Timothy Barron located?

Timothy Barron practices at 1445 Sheldon Rd Ste 100, Grand Haven, MI 49417. The listed phone number is (616) 842-1680.

What is Timothy Barron's specialty?

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

Is Timothy Barron enrolled in Medicare?

Yes. Timothy Barron 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 Barron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Barron reassigns Medicare benefits to Shoreline Ophthalmology, PLLC (Grand Haven, MI). 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 Barron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Barron accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 14 other insurers list Timothy Barron 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.

Is Timothy Barron affiliated with any hospitals?

According to CMS data, Timothy Barron is affiliated with Trinity Health Grand Haven Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Barron was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.