DR. SHAWN ALAN DYGOLA (O.D.) – Optometrist, NPI 1124191846

DR. SHAWN ALAN DYGOLA (O.D.) is a healthcare provider. based in Skokie, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-008725 (IL). The NPI Number for DR. SHAWN ALAN DYGOLA (O.D.) is 1124191846

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAWN ALAN DYGOLA (O.D.)
NPI
1124191846
Phone
(847) 673-6178
Address
9707 KEDVALE AVE
Enumeration Date
17 November 2006
Last Update Date
25 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
7083540500
Graduation Year
1993 (33 years ago)
PAC ID
4880719079
Group Practice PAC ID
8022921758
Professional Enrollment ID
I20100910000913
Address ID
IL605252325LA100XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. SHAWN ALAN DYGOLA (O.D.)

  • 9707, Kedvale Avenue, Skokie, Niles Township, Cook County, Illinois, 60076, United States

    SKOKIE, IL 600761121

    Phone: (847) 673-6178

    Type: Mailing

  • 1947, Cherry Lane, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States

    NORTHBROOK, IL 600623636

    Phone: (847) 564-2020

    Fax: (847) 564-2064

    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 $496.

Total Amount is formed as General ($496) + Research ($0) + Ownership ($0) = $496.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Alcon Vision LLC ($239).

Total Amount

$496

General + Research + Ownership

Payments

13

Total payment records

General Amount

$496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100910000913IOptometryILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6464$0
92014Established patient complete exam of visual system3030$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 60076)

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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: 8022921758View 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
-IL
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

What number should I use to identify DR. SHAWN ALAN DYGOLA (O.D.) for billing?
Administrative and clinical systems typically use NPI 1124191846 for DR. SHAWN ALAN DYGOLA (O.D.).
Is DR. SHAWN ALAN DYGOLA (O.D.)'s NPI status active today?
Active status means DR. SHAWN ALAN DYGOLA (O.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. SHAWN ALAN DYGOLA (O.D.)'s specialty?
The extract shows Optometrist for DR. SHAWN ALAN DYGOLA (O.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. SHAWN ALAN DYGOLA (O.D.)?
The directory associates DR. SHAWN ALAN DYGOLA (O.D.) with Skokie, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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