DR. JEFFREY P. HERBERTS (O.D.) – Optometrist, NPI 1528153509

DR. JEFFREY P. HERBERTS (O.D.) is a healthcare provider. based in Collinsville, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-007099 (IL). The NPI Number for DR. JEFFREY P. HERBERTS (O.D.) is 1528153509

Main info

Male
Sole Proprietor
48 Years Of Experience
Name
DR. JEFFREY P. HERBERTS (O.D.)
NPI
1528153509
Phone
(618) 344-0511
Address
119 N MORRISON AVE
Enumeration Date
4 October 2006
Last Update Date
29 July 2008

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6183440511
Graduation Year
1978 (48 years ago)
PAC ID
5092821694
Group Practice PAC ID
2961737549
Professional Enrollment ID
I20110114000157
Address ID
IL622343226CO119XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. JEFFREY P. HERBERTS (O.D.)

  • 119, North Morrison Avenue, Collinsville, Madison County, Illinois, 62234, United States

    COLLINSVILLE, IL 622343226

    Phone: (618) 344-0511

    Fax: (618) 344-0545

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-01-14

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
I20110114000157IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62234)

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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: 2961737549View full group profile
NameSpecialtyState
O P T O M E T R YMO

Reviews

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Frequently asked questions

What NPI should I save for DR. JEFFREY P. HERBERTS (O.D.)?
Save NPI 1528153509 if you need a stable reference for DR. JEFFREY P. HERBERTS (O.D.).
Is DR. JEFFREY P. HERBERTS (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. JEFFREY P. HERBERTS (O.D.) work in?
You can think of DR. JEFFREY P. HERBERTS (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JEFFREY P. HERBERTS (O.D.)?
The snapshot lists Collinsville, Illinois for DR. JEFFREY P. HERBERTS (O.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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