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SEAN DAVID HENDRICKS M.D.
NPI 1164583084
Ophthalmology - Retina Specialist in Springfield, IL

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
2020 W ILES AVE, SPRINGFIELD, IL 62704(217) 492-9629(217) 698-4728 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Apr 8, 2025, Apr 1, 2025 and 3 more (6 updates tracked since 2018).

About Sean David Hendricks M.d. NPPES

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

SEAN DAVID HENDRICKS M.D. (NPI 1164583084) is an individual retina specialist in Springfield, Illinois, licensed in Louisiana (026330) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164583084
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameSEAN DAVID HENDRICKSCredential: M.D.
Location Address2020 W ILES AVESpringfield, IL 62704-4174
Mailing Address2020 W Iles AveSpringfield, IL 62704-4174 · (217) 698-3030 · Fax (217) 698-4728
Phone(217) 492-9629
Fax(217) 698-4728
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2001
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 4, 20256 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1164583084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in LA · 026330
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 42382 (TN), 20248 (MS), 026330 (LA)
2020 W ILES AVE, Springfield, IL 62704
Open in Google Maps ↗

Secondary Practice Locations 2

Location 115795 Paul Vega MD DriveHammond, LA 70403 · Phone (985) 230-3937 · Fax (985) 230-3935
Location 24800 Maine StQuincy, IL 62305-5875 · Phone (217) 223-8400 · Fax (217) 214-0455

Other Identifiers 3

Other026330LA · License
Medicaid00226767MS
Other302I182564MS · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean David Hendricks M.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 ID2961597018
PECOS Enrollment IDI20100212000540
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190015
Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 20

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

MONICA RYAN OD
Optometrist
2020 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-3030
DR. STEPHEN G COOK MD
Specialist
2020 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-3030
EMILY BEYER OD
Optometrist
2020 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-3030
DR. MARY MORRISEY MD
Specialist
2020 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-3030
DR. STUART FARRIS MD
Ophthalmology
2020 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-3030
CHELSEY MOORE OD
Optometrist
2020 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-3030
DR. FREDERICK M RAUSCHER MD
Ophthalmology
2020 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-3030
DR. ALEX BRIAN WILLIS JR. MD
Ophthalmology
2020 W ILES AVE
SPRINGFIELD, IL 62704
Sangamon County (217) 698-3030

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 Hendricks's NPI number?

The NPI number for Sean Hendricks is 1164583084. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Sean Hendricks located?

Sean Hendricks practices at 2020 W Iles Ave, Springfield, IL 62704. The listed phone number is (217) 492-9629.

What is Sean Hendricks's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Sean Hendricks enrolled in Medicare?

Yes. Sean Hendricks 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.

What insurance does Sean Hendricks accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Sean Hendricks 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.

Is Sean Hendricks affiliated with any hospitals?

According to CMS data, Sean Hendricks is affiliated with St Johns Hospital and North Oaks Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Hendricks was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.