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SEAN PATRICK O'NEILL O.D.
NPI 1124165089
Optometrist in Iowa City, IA

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
98.22/100
CMS Quality Rating
1614 SYCAMORE ST, IOWA CITY, IA 52240(319) 337-3737 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sean Patrick O'neill O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN PATRICK O'NEILL O.D. (NPI 1124165089) is an individual optometrist in Iowa City, Iowa, licensed in Iowa (02220) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2002).

NPPES Registry Identity

NPI1124165089
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSEAN PATRICK O'NEILLCredential: O.D.
Location Address1614 SYCAMORE STIowa City, IA 52240-6044
Mailing Address421 Whispering Willow LnSolon, IA 52333-9448 · (319) 624-4009
Phone(319) 337-3737
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2002
Enumeration DateJanuary 31, 2007
Last NPPES UpdateOctober 30, 2013
✔ NPI 1124165089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IA · 02220
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1614 SYCAMORE ST, Iowa City, IA 52240
Open in Google Maps ↗

Other Identifiers 1

Medicare PINIB2450IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Patrick O'neill O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264694249
PECOS Enrollment IDI20120509000269
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Sean O'neill reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eye Physicians And Surgeons L L P
3.4 mi
Ophthalmology
2629 NORTHGATE DR
Iowa City, IA 52245
  • Reassigned Medicare billing, Iowa enrollment
  • 4 clinicians in this Medicare group
NPI 1447230834 (319) 338-3623
Eye Physicians And Surgeons Of Iowa City Plc
3.4 mi
Ophthalmology
2629 NORTHGATE DR
Iowa City, IA 52245
  • Reassigned Medicare billing, Iowa enrollment
  • 5 clinicians in this Medicare group
NPI 1285313734 (319) 338-3623
I Care Of Solon PLLC
11 mi
Optometrist
121 W MAIN ST UNIT 105
Solon, IA 52333
  • Reassigned Medicare billing, Iowa enrollment
  • 5 clinicians in this Medicare group
NPI 1588473185 (319) 324-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
124 services124 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.09

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW AARON HOUCK O.D.
Optometrist
1614 SYCAMORE ST
IOWA CITY, IA 52240
Johnson County (319) 337-3737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean O'neill's NPI number?

The NPI number for Sean O'neill is 1124165089. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Sean O'neill located?

Sean O'neill practices at 1614 Sycamore St, Iowa City, IA 52240. The listed phone number is (319) 337-3737.

What is Sean O'neill's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Sean O'neill enrolled in Medicare?

Yes. Sean O'neill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sean O'neill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean O'neill reassigns Medicare benefits to 3 organizations: Eye Physicians And Surgeons L L P (Iowa City, IA), Eye Physicians And Surgeons Of Iowa City Plc (Iowa City, IA) and I Care Of Solon PLLC (Solon, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean O'neill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean O'neill accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Sean O'neill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sean O'neill was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.