ELIZABETH JEAN COCKERILL (OD) – Optometrist, NPI 1124259064

ELIZABETH JEAN COCKERILL (OD) is a healthcare provider. based in Columbus, Ohio. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.005853 (OH). The NPI Number for ELIZABETH JEAN COCKERILL (OD) is 1124259064

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH JEAN COCKERILL (OD)
NPI
1124259064
Phone
(614) 488-8000
Address
4830 Knightsbridge Blvd Ste G
Enumeration Date
27 July 2009
Last Update Date
11 April 2020

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
6148781571
Graduation Year
2009 (17 years ago)
PAC ID
6507997566
Group Practice PAC ID
2769416569
Professional Enrollment ID
I20100708000641
Address ID
OH432281992CO5141XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for ELIZABETH JEAN COCKERILL (OD)

  • 4830 Knightsbridge Blvd Ste G

    Columbus, OH 432142300

    Phone: (614) 488-8000

    Fax: (614) 488-8610

    Type: Location

  • West Broad Street, Columbus, Franklin County, Ohio, 43228, United States

    COLUMBUS, OH 432281992

    Phone: (614) 878-1571

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $1,384.

Total Amount is formed as General ($1,384) + Research ($0) + Ownership ($0) = $1,384.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($344).

Total Amount

$1,384

General + Research + Ownership

Payments

45

Total payment records

General Amount

$1,384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

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: 2010-07-08

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
I20100708000641IOptometryOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10293$0
92014Established patient complete exam of visual system9291$0
99213Established patient office or other outpatient visit, 20-29 minutes6051$0
92133Imaging of optic nerve2323$0
92134Imaging of retina2322$0
View full utilization report →

Insurance plans in this area (ZIP 43214)

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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: 2769416569View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOH

Reviews

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Frequently asked questions

What federal number belongs to ELIZABETH JEAN COCKERILL (OD)?
The federal identifier for ELIZABETH JEAN COCKERILL (OD) is NPI 1124259064.
Is ELIZABETH JEAN COCKERILL (OD) currently active in the NPI registry?
CMS-published data lists ELIZABETH JEAN COCKERILL (OD) as an active registrant.
Does ELIZABETH JEAN COCKERILL (OD) list a primary specialty?
If you are matching referrals, note Optometrist for ELIZABETH JEAN COCKERILL (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for ELIZABETH JEAN COCKERILL (OD)?
The page summarizes Columbus, Ohio for ELIZABETH JEAN COCKERILL (OD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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