JONATHON PAUL THOELE (O.D.) – Optometrist, NPI 1114282548

JONATHON PAUL THOELE (O.D.) is a healthcare provider. based in Quincy, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2012025597 (MO). The NPI Number for JONATHON PAUL THOELE (O.D.) is 1114282548

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JONATHON PAUL THOELE (O.D.)
NPI
1114282548
Phone
(217) 222-9207
Address
2445 BROADWAY ST
Enumeration Date
11 July 2012
Last Update Date
22 February 2018

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2172228800
Graduation Year
2012 (14 years ago)
PAC ID
3870741838
Group Practice PAC ID
9436210762
Professional Enrollment ID
I20120917000335
Address ID
IL623013257QU2445XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:13State licenses:3Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for JONATHON PAUL THOELE (O.D.)

  • 2445 BROADWAY ST

    QUINCY, IL 623013257

    Phone: (217) 222-9207

    Fax: (217) 222-9205

    Type: Mailing

  • 105 W MAIN ST

    MOUNT STERLING, IL 623531223

    Phone: (217) 773-3055

    Fax: (217) 773-3522

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($201).

Total Amount

$373

General + Research + Ownership

Payments

13

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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: 2012-09-18

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
I20120917000335IOptometryILTBD
I20120918000580IOptometryMOTBD

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
92014Established patient complete exam of visual system226226$0
99212Established patient office or other outpatient visit, 10-19 minutes6951$0
99213Established patient office or other outpatient visit, 20-29 minutes6952$0
92134Imaging of retina6654$0
92250Photography of the retina5454$0
View full utilization report →

Insurance plans in this area (ZIP 62301)

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Provider's Procedures

JONATHON PAUL THOELE (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIA92083Measurement of field of vision during daylight conditions8670
OPTOMETRYIA92134Diagnostic imaging of retina4941

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: 9436210762View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Can I use this page to confirm JONATHON PAUL THOELE (O.D.)'s NPI?
Yes. JONATHON PAUL THOELE (O.D.) is listed with NPI 1114282548 in the public NPI dataset.
Does CMS list JONATHON PAUL THOELE (O.D.) as active?
Yes — JONATHON PAUL THOELE (O.D.) is active in the NPI listing used on this page.
What is JONATHON PAUL THOELE (O.D.)'s specialty?
The listing groups JONATHON PAUL THOELE (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for JONATHON PAUL THOELE (O.D.)?
JONATHON PAUL THOELE (O.D.)'s geographic hint is Quincy, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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