JILL JENE GRENNAN (M.D.) – Ophthalmology Physician, NPI 1205010006

JILL JENE GRENNAN (M.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 35214 (IA). The NPI Number for JILL JENE GRENNAN (M.D.) is 1205010006

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JILL JENE GRENNAN (M.D.)
NPI
1205010006
Phone
(402) 552-2020
Address
4353 DODGE ST
Enumeration Date
28 December 2007
Last Update Date
9 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4025522020
Graduation Year
1999 (27 years ago)
PAC ID
5698843209
Group Practice PAC ID
8628960572
Professional Enrollment ID
I20081009000523
Address ID
NE681312709OM4353XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

113 OPHTHALMOLOGY in NE

Provider Addresses for JILL JENE GRENNAN (M.D.)

  • 4353 DODGE ST

    OMAHA, NE 681312709

    Phone: (402) 552-2020

    Fax: (402) 552-2367

    Type: Location

  • California Street, Omaha, Douglas County, Nebraska, 68132, United States

    OMAHA, NE 681545248

    Phone: (402) 552-2020

    Fax: (402) 552-2367

    Type: Location

  • Midwest Eye Care, 4353, Dodge Street, Omaha, Douglas County, Nebraska, 68131, United States

    OMAHA, NE 681312709

    Phone: (402) 552-2020

    Fax: (402) 552-2367

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2023-05-10 • Largest payer in this snapshot: RxSight Inc ($120).

Total Amount

$120

General + Research + Ownership

Payments

1

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
RxSight Inc$120
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: 2008-10-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20081009000500IOphthalmologyIATBD
I20081009000523IOphthalmologyNETBD

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
92014Established patient complete exam of visual system234234$0
99213Established patient office or other outpatient visit, 20-29 minutes12092$0
99214Established patient office or other outpatient visit, 30-39 minutes9184$0
92136Measurement of corneal curvature and depth of eye8363$0
92285Photography of content of eyes7774$0
View full utilization report →

Insurance plans in this area (ZIP 68131)

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Provider's Procedures

JILL JENE GRENNAN (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYNE92012Eye and medical examination for diagnosis and treatment, established patient1211
OPHTHALMOLOGYNE92083Measurement of field of vision during daylight conditions5447
OPHTHALMOLOGYNE92134Diagnostic imaging of retina1412

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: 8628960572View full group profile
NameSpecialtyState
O P T O M E T R YNE
O P T O M E T R YIA
O P T O M E T R YNE
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YMO
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE
O P H T H A L M O L O G YNE

Reviews

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Frequently asked questions

What is the 10-digit NPI for JILL JENE GRENNAN (M.D.)?
JILL JENE GRENNAN (M.D.) — NPI 1205010006 — is the standard way to identify this listing.
Can I rely on JILL JENE GRENNAN (M.D.) being an active provider?
As of the registry snapshot, JILL JENE GRENNAN (M.D.) is marked active.
What is JILL JENE GRENNAN (M.D.)'s primary classification?
Ophthalmology Physician is the headline specialty for JILL JENE GRENNAN (M.D.) here. Clinical services aligned with this taxonomy classification.
Does JILL JENE GRENNAN (M.D.) list a practice location?
Patients near Omaha, Nebraska may find JILL JENE GRENNAN (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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