DR. JON W. MCKINNEY (OD) – Optometrist, NPI 1427062124

DR. JON W. MCKINNEY (OD) is a healthcare provider. based in Burlington, Wisconsin. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 2093035 (WI). The NPI Number for DR. JON W. MCKINNEY (OD) is 1427062124

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JON W. MCKINNEY (OD)
NPI
1427062124
Phone
(262) 763-0117
Address
309 MCHENRY ST
Enumeration Date
28 July 2006
Last Update Date
15 November 2016

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2627630117
Graduation Year
1985 (41 years ago)
PAC ID
9739278698
Group Practice PAC ID
9133135734
Professional Enrollment ID
I20071130000345
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JON W. MCKINNEY (OD)

  • 309, McHenry Street, Burlington, Racine County, Wisconsin, 53105, United States

    BURLINGTON, WI 53105

    Phone: (262) 763-0117

    Fax: (262) 763-0119

    Type: Location

  • 630, East Main Street, Pine Grove, Evesham Township, Burlington County, New Jersey, 08053-2304, United States

    309 MCHENRY ST

    BURLINGTON, WI 53105

    Phone: (262) 763-0117

    Fax: (262) 763-0119

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-11-30

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
I20071130000345IOptometryWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53105)

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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: 9133135734View full group profile
NameSpecialtyState
O P T O M E T R YWI
O P T O M E T R YWI
O P T O M E T R YIL
O P T O M E T R YWI

Reviews

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Frequently asked questions

Does DR. JON W. MCKINNEY (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JON W. MCKINNEY (OD) uses 1427062124.
Does CMS list DR. JON W. MCKINNEY (OD) as active?
Yes — DR. JON W. MCKINNEY (OD) is active in the NPI listing used on this page.
What is DR. JON W. MCKINNEY (OD)'s specialty?
The listing groups DR. JON W. MCKINNEY (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JON W. MCKINNEY (OD) on a map?
Expect Burlington, Wisconsin as a primary anchor for DR. JON W. MCKINNEY (OD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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