Timothy Noel Young, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

N4219 Issued in TX

Practice address

5300 North St
Nacogdoches, TX 75965-1370

Phone

(936) 569-8278

Fax

(936) 569-0275

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Duke University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lehmann Eye Center, PAGroup PAC ID 3072667369, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Lehmann Eye Center, PA

  • Specialist
  • Nacogdoches, TX
  • NPI 1679687438
  Medicare reassignment Care Compare group NPD
• Doctors Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Nacogdoches, TX
  • NPI 1497869267
  Medicare reassignment NPD
• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  NPD (past)
• North Carolina Eye Ear Nose & Throat PA

  • Ophthalmology Physician
  • Durham, NC
  • NPI 1972504926
  NPD (past)
• North Carolina Eye Ear Nose & Throat, PA

  • Otolaryngology Physician
  • Raleigh, NC
  • NPI 1598853178

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1962403071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651370",
            "telephone_number": "936-569-8278",
            "fax_number": "936-569-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651370",
            "telephone_number": "936-569-8278",
            "fax_number": "936-569-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIMOTHY",
        "middle_name": "NOEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "N4219",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N4219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00740176",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2057937-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Edward Wyatt, PHARMD, RPH
• Xiomara Velazco, M.D. P.a.
• Darrell G Yarbrough, LCSW
• Audrey Gwen Young, ED.D
• James R Young, M.D.
• Gustave Walter Younger III, ATC, LAT
• Richard Zapata, CRNA
• Cara Zou, DDS

• Ophthalmology Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.