Individual provider Active NPI

Timothy Casperson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Conroe, TX
National Provider Identifier
1881857951
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1858 Issued in TX
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

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue567
Removal of skin lesions1-10
Removal of nail tissue861
Removal or shaving of skin growth224
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dimitrios Mantzoros Podiatrist PastSince Dec 29, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Sources for this page

Verify at the official NPI Registry.