DR. BERNADETTE SIPPLE (O.D.) – Optometrist, NPI 1821164310

DR. BERNADETTE SIPPLE (O.D.) is a healthcare provider. based in Hudson, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4469 (OH). The NPI Number for DR. BERNADETTE SIPPLE (O.D.) is 1821164310

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. BERNADETTE SIPPLE (O.D.)
NPI
1821164310
Phone
(330) 697-4748
Address
PO BOX 880
Enumeration Date
27 November 2006
Last Update Date
20 January 2020

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
4403564020
Graduation Year
1993 (33 years ago)
PAC ID
5991971665
Group Practice PAC ID
0042539389
Professional Enrollment ID
I20111229000670
Address ID
OH441261300FA3580XWEST200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

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Provider Addresses for DR. BERNADETTE SIPPLE (O.D.)

  • 880, Hudson Street, Longueuil, Longueuil (agglomeration), Montérégie, Quebec, J4V 1H1, Canada

    HUDSON, OH 442365880

    Phone: (330) 697-4748

    Fax: (866) 425-2239

    Type: Mailing

  • 3177, Westgate Mall Drive, Westgate, Fairview Park, Cuyahoga County, Ohio, 44126, United States

    FAIRVIEW PARK, OH 44126

    Phone: (330) 697-4748

    Fax: (866) 425-2239

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $3,313.

Total Amount is formed as General ($3,313) + Research ($0) + Ownership ($0) = $3,313.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: CooperVision Inc. ($2,895).

Total Amount

$3,313

General + Research + Ownership

Payments

19

Total payment records

General Amount

$3,313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2011-12-29

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
I20111229000670IOptometryOHTBD

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
92250Photography of the retina110109$0
92014Established patient complete exam of visual system8282$0
92004New patient complete exam of visual system1313$0
99212Established patient office or other outpatient visit, 10-19 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 44236)

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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: 0042539389View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

How is DR. BERNADETTE SIPPLE (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. BERNADETTE SIPPLE (O.D.) with NPI 1821164310.
Does CMS list DR. BERNADETTE SIPPLE (O.D.) as active?
Yes — DR. BERNADETTE SIPPLE (O.D.) is active in the NPI listing used on this page.
What is DR. BERNADETTE SIPPLE (O.D.) best known for clinically?
Directory data describes DR. BERNADETTE SIPPLE (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. BERNADETTE SIPPLE (O.D.)?
DR. BERNADETTE SIPPLE (O.D.)'s geographic hint is Hudson, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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