DR. JILL C INGELSE (O.D.) – Optometrist, NPI 1528058443

DR. JILL C INGELSE (O.D.) is a healthcare provider. based in Blue island, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046009096 (IL). The NPI Number for DR. JILL C INGELSE (O.D.) is 1528058443

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JILL C INGELSE (O.D.)
NPI
1528058443
Phone
(708) 388-1228
Address
13114 WESTERN AVE
Enumeration Date
22 October 2005
Last Update Date
27 August 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7083881228
Graduation Year
1998 (28 years ago)
PAC ID
0042359606
Group Practice PAC ID
6305985961
Professional Enrollment ID
I20091120000437
Address ID
IL604062440BL13114AVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. JILL C INGELSE (O.D.)

  • 13114, Western Avenue, Blue Island, Worth Township, Cook County, Illinois, 60406, United States

    BLUE ISLAND, IL 604062439

    Phone: (708) 388-1228

    Fax: (708) 388-1696

    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 13 Open Payments records for all available years, with a total value of $1,637.

Total Amount is formed as General ($1,637) + Research ($0) + Ownership ($0) = $1,637.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alcon Vision LLC ($1,329).

Total Amount

$1,637

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,637

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2009-11-20

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
I20091120000437IOptometryILTBD

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
83861Microfluid analysis of tears824207$0
92285Photography of content of eyes536227$0
99214Established patient office or other outpatient visit, 30-39 minutes362179$0
92083Exam of visual field with extended testing185126$0
92250Photography of the retina162157$0
View full utilization report →

Insurance plans in this area (ZIP 60406)

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Provider's Procedures

DR. JILL C INGELSE (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92083Measurement of field of vision during daylight conditions4940
OPTOMETRYIL92134Diagnostic imaging of retina5644

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: 6305985961View 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

Where can patients find DR. JILL C INGELSE (O.D.)'s NPI?
You can confirm DR. JILL C INGELSE (O.D.) with NPI 1528058443; it appears in the national provider directory.
Is DR. JILL C INGELSE (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. JILL C INGELSE (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. JILL C INGELSE (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. JILL C INGELSE (O.D.)'s primary listing?
We display Blue Island, Illinois because that is what the record indicates for DR. JILL C INGELSE (O.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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