Individual provider Active NPI

Timothy L Gard, MD

  • Retina Specialist (Ophthalmology) Physician
  • Hillsboro, OR
National Provider Identifier
1659375244
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD16063 Issued in OR
Practice address
512 E Main St
Hillsboro, OR 97123-4137
Phone
(503) 640-3708
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD16063 OR Primary

Addresses

Primary practice location

512 E Main St
Hillsboro, OR 97123-4137

Mailing address

512 E Main St
Hillsboro, OR 97123-4137
Phone (503) 640-3708

Other practice location 1

10690 NE Cornell Rd Ste 112
Hillsboro, OR 97124-9224
Phone (503) 640-3708

Other identifiers 1

IdentifierTypeStateIssuer
046305MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 4406.0001@direct.hillsboroeyeclinic.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20100621000911 OR Practitioner - Ophthalmology 7618067919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Oregon Health Sciences University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsboro Eye Clinic PCGroup PAC ID 2961499348, 12 clinicians

Practice addresses (Care Compare)

10690 NE Cornell Rd
Suite 112
Hillsboro, OR 97124-9224
Phone (503) 640-3708

512 E Main St
Hillsboro, OR 97123-4137
Phone (503) 640-3708

Hospital & facility affiliations

  • Hillsboro Medical Center Hospital, Hillsboro, OR, CCN 380021

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: timothy.gard.p1@direct.hillsboroeyeclinic.nextgenshare.com
  • Direct secure messaging: tgard110295@direct.ohsu.edu

Organizations & group practices 1

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

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1659375244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234137",
            "telephone_number": "503-640-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234137",
            "telephone_number": "503-640-3708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10690 NE Cornell Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971249224",
            "country_code": "US",
            "telephone_number": "503-640-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARD",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OR",
            "license": "MD16063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046305",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "4406.0001@direct.hillsboroeyeclinic.nextgenshare.com",
            "affiliation": "N",
            "address_1": "512 E Main St",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971234137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.