DR. JEFFREY MICHAEL PIETRZYK (OD) – Optometrist, NPI 1902880057
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
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Provider Addresses for DR. JEFFREY MICHAEL PIETRZYK (OD)
540, West North Street, Manhattan, Will County, Illinois, 60442, United States
SUITE 209
MANHATTAN, IL 604428201
Phone: (815) 478-0100
Fax: (815) 478-9100
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 12 Open Payments records for all available years, with a total value of $224.
Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alcon Vision LLC ($135).
Total Amount
$224
General + Research + Ownership
Payments
12
Total payment records
General Amount
$224
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $135 |
| CooperVision Inc. | $67 |
| Tarsus Pharmaceuticals, Inc. | $22 |
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: 2006-03-06
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 |
|---|---|---|---|---|
| I20060306000534 | 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 |
|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 1,889 | 15 | $0 |
| 92014 | Established patient complete exam of visual system | 302 | 259 | $0 |
| 92250 | Photography of the retina | 155 | 148 | $0 |
| 92133 | Imaging of optic nerve | 105 | 71 | $0 |
| 92012 | Established patient problem focused exam of visual system | 93 | 71 | $0 |
Insurance plans in this area (ZIP 60442)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | IL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 77 | 59 |
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 | SC |
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