Timothy Harreld Troutman Jr., OD
Individual provider Active NPI Optometrist · Huntingburg, IN
NPI 1821079005 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1821079005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18003367 (IN)
- Practice address
- 303 13TH St
Huntingburg, IN 47542-9269 - Phone
- (812) 683-4443
- Fax
- (812) 683-5409
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Eyecare Associates, L.L.P.
Practice addresses (Care Compare)
303 E 13TH St
Huntingburg, IN 47542-9269
Phone (812) 683-4443
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 80 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050802001370 | IN | Practitioner - Optometry | 5597793216 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003367 | IN | MD | Optometrist |
| 16460T | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Eyecare Associates, L.L.P. | Optometrist | Current |
Accepting new patients |
| Talley Medical-Surgical Eye Care Associates PC | Optometrist | Current |
Accepting new patients |
| Aeg Kentucky Professional, PLLC | Optometrist | Past |
Accepting new patients |
Locations
303 E 13th St
Huntingburg, IN 47542
Phone (812) 683-4443
515 W 6th St
Jasper, IN 47546
Phone (812) 401-3937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 16460T | KY | |
| Optometrist | 152W00000X | 18003367 | IN | Yes |
Addresses
Primary practice location
303 13TH St
Huntingburg, IN 47542-9269
Mailing address
PO Box 360
Huntingburg, IN 47542-0360
Phone (812) 683-4443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213550D | Other | IN | MEDICARE ID |
| 200523320 | Medicaid | IN |
Other providers in Huntingburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.