DR. ELIZABETH RENEE HEIDEMAN (O.D.) – Optometrist, NPI 1619256013
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
Provider Addresses for DR. ELIZABETH RENEE HEIDEMAN (O.D.)
2000 W MORTON AVE
JACKSONVILLE, IL 626502623
Phone: (309) 693-9540
Fax: (309) 693-9542
Type: Mailing
901 W Morton Ave
#113
Jacksonville, IL 626504024
Phone: (217) 243-6506
Fax: (217) 243-4902
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 $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($38).
Total Amount
$76
General + Research + Ownership
Payments
3
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Surgical Vision, Inc. | $38 |
| Bausch & Lomb Americas Inc. | $23 |
| CooperVision Inc. | $14 |
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: 2011-09-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110926000902 | I | Optometry | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 281 | 274 | $0 |
| 92250 | Photography of the retina | 54 | 51 | $0 |
| 92004 | New patient complete exam of visual system | 51 | 51 | $0 |
| 92134 | Imaging of retina | 43 | 42 | $0 |
| 92012 | Established patient problem focused exam of visual system | 40 | 18 | $0 |
Insurance plans in this area (ZIP 62650)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | MD | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | NC |
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