DR. JOHN PHILLIP GYSIN (O.D.) – Optometrist, NPI 1598757304

DR. JOHN PHILLIP GYSIN (O.D.) is a healthcare provider. based in Peoria, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0046007961 (IL). The NPI Number for DR. JOHN PHILLIP GYSIN (O.D.) is 1598757304

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN PHILLIP GYSIN (O.D.)
NPI
1598757304
Phone
(309) 692-2525
Address
5901 N PROSPECT RD STE 11
Enumeration Date
17 August 2005
Last Update Date
28 October 2009

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3096920000
Graduation Year
1986 (40 years ago)
PAC ID
9436112893
Group Practice PAC ID
7012907892
Professional Enrollment ID
I20041105001004
Address ID
IL616142812PE6807XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. JOHN PHILLIP GYSIN (O.D.)

  • North Prospect Road, North Peoria, Peoria, Peoria County, Illinois, 61614, United States

    PEORIA, IL 616144337

    Phone: (309) 692-2525

    Fax: (309) 692-2584

    Type: Mailing

  • 5901, North Prospect Road, Keller, Peoria, Peoria County, Illinois, 61614, United States

    SUITE #11

    PEORIA, IL 616144358

    Phone: (309) 692-2525

    Fax: (309) 692-2584

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($103).

Total Amount

$132

General + Research + Ownership

Payments

3

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2004-11-05

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
I20041105001004IOptometryILTBD

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
66984Removal of cataract with insertion of prosthetic lens1,36211$0
92014Established patient complete exam of visual system110107$0
92083Exam of visual field with extended testing5341$0
92133Imaging of optic nerve4131$0
99213Established patient office or other outpatient visit, 20-29 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

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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: 7012907892View full group profile
NameSpecialtyState
-IL
O P T O M E T R YIL
-IL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is DR. JOHN PHILLIP GYSIN (O.D.)'s NPI number?
DR. JOHN PHILLIP GYSIN (O.D.)'s NPI is 1598757304 — the number used across U.S. healthcare to identify this provider.
Is DR. JOHN PHILLIP GYSIN (O.D.) still an active registrant?
DR. JOHN PHILLIP GYSIN (O.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. JOHN PHILLIP GYSIN (O.D.)?
DR. JOHN PHILLIP GYSIN (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. JOHN PHILLIP GYSIN (O.D.) registered?
Use Peoria, Illinois as the headline location for DR. JOHN PHILLIP GYSIN (O.D.) here.
When was this NPI issued?
Enumeration for DR. JOHN PHILLIP GYSIN (O.D.) is noted as August 17, 2005 where the registry provides it.

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