TYSON J HERRMANN (O.D.) – Optometrist, NPI 1427099951

TYSON J HERRMANN (O.D.) is a healthcare provider. based in Springfield, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-009537 (IL). The NPI Number for TYSON J HERRMANN (O.D.) is 1427099951

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
TYSON J HERRMANN (O.D.)
NPI
1427099951
Phone
(217) 698-3030
Address
2020 W ILES AVNEUE
Enumeration Date
8 June 2006
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3098253735
Graduation Year
2003 (23 years ago)
PAC ID
4880605849
Group Practice PAC ID
1153404066
Professional Enrollment ID
I20060505000633
Address ID
IL617611958NO407XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for TYSON J HERRMANN (O.D.)

  • 2020 W ILES AVNEUE

    SPRINGFIELD, IL 62704

    Phone: (217) 698-3030

    Fax: (217) 698-4728

    Type: Mailing

  • 1104 N Vermilion St

    Danville, IL 618323094

    Phone: (217) 442-2631

    Fax: (217) 442-0119

    Type: Location

  • 1104 N VERMILION ST

    DANVILLE, IL 618323094

    Phone: (217) 442-2631

    Fax: (217) 442-0119

    Type: Mailing

  • 304, West Hay Street, Decatur, Macon County, Illinois, 62526, United States

    SUITE 311

    DECATUR, IL 625266328

    Phone: (217) 698-3030

    Fax: (217) 698-4728

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $223.

Total Amount is formed as General ($223) + Research ($0) + Ownership ($0) = $223.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: ABBVIE INC. ($60).

Total Amount

$223

General + Research + Ownership

Payments

11

Total payment records

General Amount

$223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2006-05-05

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
I20060505000633IOptometryILTBD

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 system774697$0
83861Microfluid analysis of tears49278$0
92012Established patient problem focused exam of visual system477322$0
68761Closure of tear duct opening using plug40181$0
92133Imaging of optic nerve189186$0
View full utilization report →

Insurance plans in this area (ZIP 62704)

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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: 1153404066View full group profile
NameSpecialtyState
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 TYSON J HERRMANN (O.D.) for billing?
Administrative and clinical systems typically use NPI 1427099951 for TYSON J HERRMANN (O.D.).
Is TYSON J HERRMANN (O.D.)'s NPI status active today?
Active status means TYSON J HERRMANN (O.D.)'s NPI record is not deactivated in the public file.
How should patients interpret TYSON J HERRMANN (O.D.)'s specialty?
The extract shows Optometrist for TYSON J HERRMANN (O.D.). Clinical services aligned with this taxonomy classification.
What city is tied to TYSON J HERRMANN (O.D.)?
The directory associates TYSON J HERRMANN (O.D.) with Springfield, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains TYSON J HERRMANN (O.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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