Individual provider Active NPI

Timothy Francis-Mooney Doyle, D.O.

  • Ophthalmology Physician
  • Dover, DE
National Provider Identifier
1700017902
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C2-0009503 Issued in DE
Practice address
833 S Governors Ave
Dover, DE 19904-4158
Phone
(302) 674-1121
Fax
(302) 674-3891
NPI assigned
Aug 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS014823 PA
Ophthalmology Physician 207W00000X 25MB08585000 NJ
Ophthalmology Physician 207W00000X C2-0009503 DE Primary

Addresses

Primary practice location

833 S Governors Ave
Dover, DE 19904-4158

Mailing address

833 S Governors Ave
Dover, DE 19904-4158
Phone (302) 674-1121

Other identifiers 1

IdentifierTypeStateIssuer
1700017902MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20110225000306 DE Practitioner - Ophthalmology 6204972060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Eye Care Center PAGroup PAC ID 6002868767, 19 clinicians

Practice addresses (Care Compare)

333 E Main St
Newark Office
Newark, DE 19711-7152
Phone (302) 368-9105

833 S Governors Ave
Dover, DE 19904-4158
Phone (302) 674-1121

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
80.95
Improvement activities
40
Cost
71.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08585000NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Eye Care Center PA Ophthalmology CurrentSince Dec 22, 2010 Accepting new patients
Delaware Eye Care Center PA Ophthalmology Past Accepting new patients
Roth and Russin LLC Ophthalmology Past Accepting new patients

Locations

833 S Governors Ave
Dover, DE 19904
Phone (302) 674-1121

833 S Governors Ave
Ste 100
Dover, DE 19904

100 Silicato Pkwy
Ste 303
Milford, DE 19963
Phone (800) 900-2020

333 E Main St
Newark, DE 19711
Phone (302) 368-9105

100 S Main St
Smyrna, DE 19977
Phone (302) 659-4444

Interoperability endpoints

  • Direct secure messaging: timothy.doyle.p1@direct.delewareeyecare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1700017902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-674-1121",
            "fax_number": "302-674-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-674-1121",
            "fax_number": "302-674-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "TIMOTHY",
        "middle_name": "FRANCIS-MOONEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS014823",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MB08585000",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "DE",
            "license": "C2-0009503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700017902",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.