Tim A Bengtson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007904 Issued in IL

Practice address

820 E Jackson St
Macomb, IL 61455-2412

Phone

(309) 833-4242

NPI assigned

Aug 31, 2007

Last updated

May 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tim a Bengtson O.D., P.C.Group PAC ID 3678460920, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.56 of 100Reported as group

Quality

89.58

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tim a Bengtson O.D., P.C.

  • Optometrist
  • Macomb, IL
  • NPI 1285646661
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1891989919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552412",
            "telephone_number": "309-833-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552412",
            "telephone_number": "309-833-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "TIM",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007904",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Beckman, MS, ATC, CSCS
• Michael Paul Bednarz, MD
• Lyndsay J Bedwell, FNP
• Madelyn Belville, SSP
• Hannah Lauren Bengtson, O.D.
• Amelia A Betz
• Beu Health Center
• Beu Health Center Pharmacy (Western Illinois University)
• Cora Bezold
• Timothy Mark Biagini, M.D.

• Optometrist in Macomb, IL
• Providers in Macomb, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.

Verify at the official NPI Registry.