Active NPI
Timothy Casperson, DPM
- Foot & Ankle Surgery Podiatrist
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1858
- Practice address
- 1020 Riverwood CT Ste 220
Conroe, TX 77304-2974 - Phone
- (936) 756-9191
- Fax
- (936) 756-9197
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1858 | TX | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1858 | TX | Primary |
Addresses
Primary practice location
1020 Riverwood CT Ste 220
Conroe, TX 77304-2974
Mailing address
1020 Riverwood CT Ste 220
Conroe, TX 77304-2974
Phone (936) 756-9191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080825000536 | TX | Practitioner - Podiatry | 6507931698 | Practice locations: Conroe, TX; The Woodlands, TX; Huntsville, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1020 Riverwood CT
Suite 220
Conroe, TX 77304-2974
Phone (936) 756-9191
119 Medical Park LN
Suite a
Huntsville, TX 77340-4980
Phone (936) 291-7878
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 567 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 861 |
| Removal or shaving of skin growth | 224 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimitrios Mantzoros | Podiatrist | Past | Accepting new patients |
Interoperability endpoints
- hmhtcaspe@yourcarecommunity.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Conroe, TX
- NPI 1154571883
Podiatrist
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Conroe, TX
- NPI 1093955296
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1114340080
-
dba Conroe Regional Medical Center
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
-
dba Huntsville Memorial Hospital
- General Acute Care Hospital
- Huntsville, TX
- NPI 1245878990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1881857951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 RIVERWOOD CT STE 220",
"city": "CONROE",
"state": "TX",
"postal_code": "773042974",
"telephone_number": "936-756-9191",
"fax_number": "936-756-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 RIVERWOOD CT STE 220",
"city": "CONROE",
"state": "TX",
"postal_code": "773042974",
"telephone_number": "936-756-9191",
"fax_number": "936-756-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASPERSON",
"first_name": "TIMOTHY",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1858",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
- Sherletta Latecia Carter, MSW, LCSW
- Mary Casebolt, FNP
- Madeline Grace Snell Casey, OTD, OTR
- Robert Greyson Cashion
- Sara Danielle Casiday, MS, CCC-SLP
- Kendra Lynn Castillo, LVN
- Magaly Castillo, DNAP, CRNA
- Seth Adam Castillo, MSAT, ATC, LAT
- Stephanie Fox Castleschouldt, CRANIAL PROTHESTICS
- Sara Maria Castro-Olivo, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.