DR. JOHN R HERBOLSHEIMER O.D.
NPI 1144326174
Optometrist in Bellevue, NE

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
3906 TWIN CREEK DR, STE. 102, BELLEVUE, NE 68123(402) 932-8007(402) 932-8112 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. John R Herbolsheimer O.d. NPPES

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

DR. JOHN R HERBOLSHEIMER O.D. (NPI 1144326174) is an individual optometrist in Bellevue, Nebraska, licensed in Nebraska (1217) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2004).

NPPES Registry Identity

NPI1144326174
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN R HERBOLSHEIMERCredential: O.D.
Location Address3906 TWIN CREEK DR, STE. 102Bellevue, NE 68123-4104
Mailing Address3906 Twin Creek Dr, Ste. 102Bellevue, NE 68123-4104 · (402) 932-8007 · Fax (402) 932-8112
Fax(402) 932-8112
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2004
Enumeration DateSeptember 16, 2006
Last NPPES UpdateOctober 21, 2011
✔ NPI 1144326174 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 NE · 1217
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.
3906 TWIN CREEK DR, Bellevue, NE 68123

Other Identifiers 3

Medicaid10025340600NE
Medicare PIN281801NE
Medicaid10026095700NE

Accepted 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

Dr. John R Herbolsheimer 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 ID9032117585
PECOS Enrollment IDI20061117000332
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

2

Medicare enrollment records show John Herbolsheimer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
3906 TWIN CREEK DR, STE 102
Bellevue, NE 68123
  • Reassigned Medicare billing, Nebraska enrollment
  • 5 clinicians in this Medicare group
Optometrist
7827 DODGE ST
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 8 clinicians in this Medicare group

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 8

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
28 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services21 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
23 services12 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.
23 services18 patients
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.
17 services17 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).
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68123 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

Other Providers at the Same Location NPPES

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

Optometrist
3906 TWIN CREEK DR, STE 102
BELLEVUE, NE 68123

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 John Herbolsheimer's NPI number?

The NPI number for John Herbolsheimer is 1144326174. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is John Herbolsheimer located?

John Herbolsheimer practices at 3906 Twin Creek Dr Ste. 102, Bellevue, NE 68123. The listed phone number is (402) 932-8007.

What is John Herbolsheimer's specialty?

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

Is John Herbolsheimer enrolled in Medicare?

Yes. John Herbolsheimer 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 John Herbolsheimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Herbolsheimer reassigns Medicare benefits to 2 organizations: Urban Eyes PC (Bellevue, NE) and Focused Eye Care PC (Omaha, NE). 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 John Herbolsheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Herbolsheimer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 14 other insurers list John Herbolsheimer 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 John Herbolsheimer was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.