DR. PHILIP GILBERT CROMWELL (O.D.) – Optometrist, NPI 1720194632

DR. PHILIP GILBERT CROMWELL (O.D.) is a healthcare provider. based in Preston, Idaho. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. ODP607 (ID). The NPI Number for DR. PHILIP GILBERT CROMWELL (O.D.) is 1720194632

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP GILBERT CROMWELL (O.D.)
NPI
1720194632
Phone
(208) 852-3030
Address
134 N STATE ST
Enumeration Date
22 August 2006
Last Update Date
16 February 2012

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2088523030
Graduation Year
1979 (47 years ago)
PAC ID
8729037379
Group Practice PAC ID
1951466481
Professional Enrollment ID
I20050125000250
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. PHILIP GILBERT CROMWELL (O.D.)

  • 134, North State Street, Preston, Franklin County, Idaho, 83263, United States

    SUITE A

    PRESTON, ID 832631143

    Phone: (208) 852-3030

    Fax: (208) 852-3031

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$34
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050125000250IOptometryIDTBD
I20051018000583IOptometryUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina142136$0
99214Established patient office or other outpatient visit, 30-39 minutes9189$0
99213Established patient office or other outpatient visit, 20-29 minutes8964$0
92014Established patient complete exam of visual system5959$0
92134Imaging of retina3328$0
View full utilization report →

Insurance plans in this area (ZIP 83263)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951466481View full group profile
NameSpecialtyState
O P T O M E T R YID
O P T O M E T R YUT

Reviews

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Frequently asked questions

Does DR. PHILIP GILBERT CROMWELL (O.D.) have a public NPI I can cite?
Public records show DR. PHILIP GILBERT CROMWELL (O.D.) under NPI 1720194632.
Is DR. PHILIP GILBERT CROMWELL (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. PHILIP GILBERT CROMWELL (O.D.) as active.
What type of care does DR. PHILIP GILBERT CROMWELL (O.D.) provide?
DR. PHILIP GILBERT CROMWELL (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. PHILIP GILBERT CROMWELL (O.D.) in Preston, Idaho?
For routing, start with Preston, Idaho for DR. PHILIP GILBERT CROMWELL (O.D.), then verify phone and hours locally.
Who maintains DR. PHILIP GILBERT CROMWELL (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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