TIFFANY M ANDRZEJEWSKI (OD) – Corneal and Contact Management Optometrist, NPI 1174836548

TIFFANY M ANDRZEJEWSKI (OD) is a healthcare provider. based in Highland park, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046010521 (IL). The NPI Number for TIFFANY M ANDRZEJEWSKI (OD) is 1174836548

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY M ANDRZEJEWSKI (OD)
NPI
1174836548
Phone
(847) 432-6010
Address
806 CENTRAL AVE
Enumeration Date
14 July 2010
Last Update Date
11 April 2012

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8472553515
Graduation Year
2010 (16 years ago)
PAC ID
5890988679
Group Practice PAC ID
6608771324
Professional Enrollment ID
I20120214000905
Address ID
IL606123845CH1725XSTXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for TIFFANY M ANDRZEJEWSKI (OD)

  • 806 CENTRAL AVE

    SUITE 300

    HIGHLAND PARK, IL 600355613

    Phone: (847) 432-6010

    Fax: (847) 432-8241

    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 59 Open Payments records for all available years, with a total value of $14,622.

Total Amount is formed as General ($14,622) + Research ($0) + Ownership ($0) = $14,622.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: CooperVision Inc. ($9,870).

Total Amount

$14,622

General + Research + Ownership

Payments

59

Total payment records

General Amount

$14,622

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2012-02-14

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
I20120214000905IOptometryILTBD

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
99212Established patient office or other outpatient visit, 10-19 minutes4134$0
92014Established patient complete exam of visual system2523$0
99213Established patient office or other outpatient visit, 20-29 minutes2321$0
92134Imaging of retina1211$0
View full utilization report →

Insurance plans in this area (ZIP 60035)

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Provider's Procedures

TIFFANY M ANDRZEJEWSKI (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92012Eye and medical examination for diagnosis and treatment, established patient7365

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: 6608771324View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
O P T O M E T R YIL
-IL
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P T O M E T R YIA
O P T O M E T R YIL
O P H T H A L M O L O G YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What unique ID ties claims to TIFFANY M ANDRZEJEWSKI (OD)?
NPI 1174836548 is assigned to TIFFANY M ANDRZEJEWSKI (OD) under the national enumeration system.
Is TIFFANY M ANDRZEJEWSKI (OD)'s NPI currently valid?
The extract we use shows TIFFANY M ANDRZEJEWSKI (OD) as active.
Does TIFFANY M ANDRZEJEWSKI (OD) list a primary specialty?
If you are matching referrals, note Corneal and Contact Management Optometrist for TIFFANY M ANDRZEJEWSKI (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for TIFFANY M ANDRZEJEWSKI (OD)?
The page summarizes Highland Park, Illinois for TIFFANY M ANDRZEJEWSKI (OD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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