Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Timothy John Smith , OD

Optometrist • Dover, DE

Active NPI 1356573141 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

885 S Governors Ave
Dover, DE 199044158

Call 3027341472 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

885 S Governors Ave

Dover, DE 199044158

Telephone 3027341472
Fax 3027341921
Organization at the Same NPPES Address or Phone
Halpern Eye Associates, P. A. Facility NPI 1306187620

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Millsboro Eye Care Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Southern College Of Optometry

Graduation Year

2009

Medicare patients

2,474 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $600,111 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $421,667 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

3,697 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$220,695 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $159.06 across 6 records.

By nature of payment

  • Food and Beverage: $159.06 across 6 records.

Reporting-company totals

  • Tarsus Pharmaceuticals, Inc.: $110.84 across 4 records.
  • Harrow Eye, LLC: $25.90 across 1 record.
  • SUN PHARMACEUTICAL INDUSTRIES INC.: $22.32 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

17 years (graduated 2009)

CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Dover and Delaware

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Optometrist in Dover, DE (2024, 21 clinicians with data). Median for this group: 913. Middle half: 341 to 1,796.

More Medicare Part B services than 95% of clinicians listed under Optometrist in Delaware (2024, 105 clinicians with data). Median for this group: 543. Middle half: 214 to 1,135.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Optometrist in Dover, DE (2024, 21 clinicians with data). Median for this group: $85,029. Middle half: $25,099 to $152,620.

A higher Medicare-allowed amount than 95% of clinicians listed under Optometrist in Delaware (2024, 105 clinicians with data). Median for this group: $52,316. Middle half: $20,522 to $110,101.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Optometrist in Dover, DE (2024, 21 clinicians with data). Median for this group: $57,337. Middle half: $16,862 to $108,442.

A higher Medicare payment amount than 95% of clinicians listed under Optometrist in Delaware (2024, 105 clinicians with data). Median for this group: $34,792. Middle half: $13,559 to $75,916.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Optometrist in Dover, DE (2024, 21 clinicians with data). Median for this group: 200. Middle half: 55 to 574.

More Part D prescriptions than 95% of clinicians listed under Optometrist in Delaware (2024, 101 clinicians with data). Median for this group: 176. Middle half: 55 to 449.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Optometrist in Dover, DE (2024, 21 clinicians with data). Median for this group: $21,883. Middle half: $666 to $50,432.

A higher Part D drug cost than 95% of clinicians listed under Optometrist in Delaware (2024, 101 clinicians with data). Median for this group: $12,433. Middle half: $935 to $48,445.

29 active clinicians are listed under Optometrist with a practice address in Dover, DE (164 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dover

0% of these 29 clinicians have the CMS telehealth indicator.

75.9% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $159.06.

Manufacturer Payment Nature Product Type Amount ($)
Tarsus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
XDEMVY General $38.50
Harrow Eye, LLC
Food and Beverage
In-kind items and services
VEVYE General $25.90
Tarsus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
XDEMVY General $25.35
Tarsus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
XDEMVY General $23.89
Tarsus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
XDEMVY General $23.10
SUN PHARMACEUTICAL INDUSTRIES INC.
Food and Beverage
In-kind items and services
Cequa General $22.32

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
2,166 1,791 $20.00 $16.20
92134 Imaging of retina
2,133 1,695 $100.00 $39.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
1,860 1,755 $250.00 $126.71
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
950 777 $175.00 $89.66
92133 Imaging of optic nerve
495 425 $100.00 $34.75
92083 Exam of visual field with extended testing
453 374 $140.00 $61.21
92014 Established patient complete exam of visual system
245 244 $250.00 $122.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
190 190 $280.00 $165.16
92025 Ct scan of cornea
168 148 $110.00 $34.70
92012 Established patient problem focused exam of visual system
162 155 $175.00 $86.49
92286 Imaging of front third of eye using a special microscope
147 130 $100.00 $38.13
92250 Photography of the retina
145 134 $140.00 $36.46
92285 Photography of content of eyes
99 77 $75.00 $22.80
68761 Closure of tear duct opening using plug
63 50 $519.05 $194.45
67820 Removal of eyelashes using forceps
51 43 $117.65 $18.77
92081 Exam of visual field with limited testing
47 23 $100.00 $16.55
76514 Ultrasound scan of cornea to determine thickness
20 20 $30.00 $10.52
67700 Incision and drainage of abscess of eyelid
17 16 $600.00 $276.89
92020 Exam of the internal drainage system of eye
17 17 $60.00 $26.95
65210 Removal of foreign body from external eye (conjunctiva or sclera)
16 15 $191.25 $38.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $250.00 $110.03

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Latanoprost Latanoprost 391 28,062 $4,863.01 122
Timolol Maleate Timolol Maleate 193 16,065 $4,780.68 72
Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat 146 10,456 $2,409.76 41
Prednisolone Acetate Prednisolone Acetate 115 8,147 $4,801.14 66
Erythromycin Erythromycin Base 110 1,595 $1,368.09 53
Lumigan Bimatoprost 92 6,509 $54,780.91 27
Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha 89 2,045 $969.41 76
Valacyclovir Valacyclovir Hcl 72 4,738 $4,928.66 22
Dorzolamide Hcl Dorzolamide Hcl 69 4,450 $1,636.71 24
Brimonidine Tartrate Brimonidine Tartrate 64 4,196 $3,014.78 19
Vyzulta Latanoprostene Bunod 64 3,101 $30,776.51 17
Moxifloxacin Moxifloxacin Hcl 59 1,323 $1,162.58 37
Travoprost Travoprost 45 2,802 $7,593.81 15
Doxycycline Hyclate Doxycycline Hyclate 43 1,549 $1,410.18 26
Restasis Cyclosporine 42 3,420 $67,373.40 21
Loteprednol Etabonate Loteprednol Etabonate 39 2,669 $6,663.07 23
Doxycycline Monohydrate Doxycycline Monohydrate 16 1,020 $816.92 —
Fluorometholone Fluorometholone 16 1,036 $1,465.98 —
Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol 14 989 $4,296.39 —
Lotemax Sm Loteprednol Etabonate 13 290 $3,327.23 —
Combigan Brimonidine Tartrate/Timolol 11 558 $4,374.51 —
Cyclosporine Cyclosporine 11 930 $7,881.48 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES DE I3-0001338

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Grp Npi
1245251313 (DE)
Other Identifier De Professional License
13-0001338 (DE)
Other Identifier Medicare Group Id
G00016 (DE)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPTOMETRY

Medicare Enrollment ID

I20101023000125

Enrollment State Jurisdiction

DE

PECOS Control ID

8820281793

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Millsboro Eye Care Llc

28322 Lewes Georgetown Hwy, Milton, DE 199683117

Phone: 3026842020

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1689648768

Doctor of Optometry

NPI 1740255512

Doctor of Optometry

NPI 1588630214

Doctor of Optometry

NPI 1952605743

Doctor of Optometry

NPI 1356315394

Doctor of Optometry

NPI 1578753984

Doctor of Optometry

Career & Practice History

NPI enumerated August 13, 2009.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1356573141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2009
Last Update: September 13, 2010
Sole Proprietor: No

Other Optometrists in Dover

All Optometrists in Dover

Mailing Address

885 S Governors Ave

Dover, DE 199044158

Phone: 3027341472

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.