Timothy J O'Brien, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

195904 Issued in NY

Practice address

27 Porter Ave
Jamestown, NY 14701-6221

Phone

(716) 483-2020

Fax

(716) 488-9295

NPI assigned

Oct 11, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Specialty

Ophthalmology

Education

Jefferson Medical College of Thomas Jefferson University, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Eye Care Specialists P CGroup PAC ID 8527956788, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tobrien@cecs.intellechartdirect.net

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.

• Community Eye Care Specialists, P.C.

  • Ophthalmology Physician
  • Warren, PA
  • NPI 1528114311

  NY

  Medicare reassignment Care Compare group NPD
• Gateway Ophthalmology, P.L.L.C

  • Ophthalmology Physician
  • Jamestown, NY
  • NPI 1538524798

  PA

  Medicare reassignment NPD
• Community Eye Care Specialists P C

  • Ophthalmology Physician
  • Jamestown, NY
  • NPI 1659187177
  NPD
• Gateway Ophthalmology, P.L.L.C

  • Ophthalmology Physician
  • Bradford, PA
  • NPI 1194179382
  NPD

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1912995184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PORTER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016221",
            "telephone_number": "716-483-2020",
            "fax_number": "716-488-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PORTER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016221",
            "telephone_number": "716-483-2020",
            "fax_number": "716-488-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "195904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001304520",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01507753",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Medical Equipment Inc
• Amie Norton
• Stephanie Lynn Nugent Heimburg, OTR/L
• Suzette Marie Nugent, RN
• Melissa Sue Nyweide, RD, LDN
• Belinda O'Connor
• Mary H O'Leary, LCSW
• Angela Marie Oakes, RN
• Alyssa Ognibene
• Debra K Ognibene, LMSW

• Ophthalmology Physician in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.