Timothy B Cavanaugh, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0423515 Issued in KS

Practice address

6200 W 135TH St
Suite 300
Overland Park, KS 66223-4844

Phone

(913) 897-9200

Fax

(913) 897-9233

NPI assigned

Feb 6, 2006

Last updated

Oct 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Kansas School of Med (KC/Wich/Sal), 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cavanaugh Eye Center PAGroup PAC ID 6709822901, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.75 of 100Reported as group

Quality

94.96

Improvement activities

40

Cost

75.88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cavanaugh Eye Center, PA

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1851309074
  Medicare reassignment Care Compare group NPD Authorized official
• Deer Creek Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1528099207
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1083686729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 W 135TH ST",
            "address_2": "SUITE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234844",
            "telephone_number": "913-897-9200",
            "fax_number": "913-897-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 W 135TH ST",
            "address_2": "SUITE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234844",
            "telephone_number": "913-897-9200",
            "fax_number": "913-897-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "0423515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17675163",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Cation, MD
• Taylor Cation, PHARMD
• Ernest A Cattaneo, MD
• Courtney Jene Cauldwell
• Cavanaugh Eye Center, PA
• Hannah Caviness, OTR
• CCRC of Cedar Rapids, LLC (Terrace Glen Village)
• CCRC of Overland Park, LLC (Colonial Village)
• Cecily a. Clark-Ganheart, M.D., P.a. (Conceptual Health)
• Coby Cedarholm, COTA/L

• Ophthalmology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Ophthalmology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.