SEAN DAVID HENDRICKS (M.D.) – Retina Specialist (Ophthalmology) Physician, NPI 1164583084
Retina Specialist (Ophthalmology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
958 OPHTHALMOLOGY in IL
Provider Addresses for SEAN DAVID HENDRICKS (M.D.)
4800 Maine St
Quincy, IL 623055875
Phone: (217) 223-8400
Fax: (217) 214-0455
Type: Location
15795 Paul Vega MD Drive
Hammond, LA 70403
Phone: (985) 230-3937
Fax: (985) 230-3935
Type: Location
2020 W ILES AVE
SPRINGFIELD, IL 627044174
Phone: (217) 698-3030
Fax: (217) 698-4728
Type: Mailing
1005, Broadway Street, Quincy, Adams County, Illinois, 62301, United States
QUINCY, IL 623012834
Phone: (217) 223-8400
Fax: (217) 214-0455
Type: Mailing
Maine Street, Quincy, Adams County, Illinois, 62301, United States
QUINCY, IL 623055875
Phone: (217) 223-8400
Fax: (217) 214-0455
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($39).
Total Amount
$62
General + Research + Ownership
Payments
2
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $39 |
| ABBVIE INC. | $23 |
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: 2024-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100212000540 | I | Ophthalmology | LA | TBD |
| I20180914000789 | I | Ophthalmology | IL | TBD |
| I20230120000242 | I | Ophthalmology | FL | TBD |
| I20241213003395 | I | Ophthalmology | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92134 | Imaging of retina | 16 | 16 | $0 |
Insurance plans in this area (ZIP 62305)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | LA | 92083 | Measurement of field of vision during daylight conditions | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | LA | |
| Physician Assistant | LA | |
| General Surgery | LA | |
| Orthopedic Surgery | LA | |
| Emergency Medicine | LA | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Orthopedic Surgery | LA | |
| Physician Assistant | LA | |
| Nurse Practitioner | LA | |
| Orthopedic Surgery | NV |
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