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DR. JEFFREY JOHN JAMES OD
NPI 1184682635
Optometrist in Freeport, IL

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
1110 S PARK BLVD, FREEPORT, IL 61032(815) 232-1105(815) 232-3117 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jeffrey John James Od NPPES

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

DR. JEFFREY JOHN JAMES OD (NPI 1184682635) is an individual optometrist in Freeport, Illinois, licensed in Illinois (046008966) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Southern College Of Optometry (1996).

NPPES Registry Identity

NPI1184682635
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEFFREY JOHN JAMESCredential: OD
Location Address1110 S PARK BLVDFreeport, IL 61032
Mailing Address1110 S Park BlvdFreeport, IL 61032 · (815) 232-1105 · Fax (815) 232-3117
Phone(815) 232-1105
Fax(815) 232-3117
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1996
Enumeration DateMay 3, 2006
Last NPPES UpdateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1184682635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IL · 046008966✔ Licensed in WI · 0002738035
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.
1110 S PARK BLVD, Freeport, IL 61032
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Other Identifiers 1

Medicaid046008966IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Oscar 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

Dr. Jeffrey John James Od 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 ID8628158771
PECOS Enrollment IDI20080102000593, I20090109000271
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 Reassignment

Medicare enrollment records show Jeffrey James reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Monroe Clinic, Inc.
0.9 mi
Family Medicine
1301 KIWANIS DR
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois and Wisconsin enrollments
  • Also billed through NPI 1386720548 (Wisconsin)
  • 61 clinicians in this Medicare group
NPI 1831254036 (815) 235-1406

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 7

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.
133 services131 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.
45 services45 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
44 services44 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.
44 services37 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
22 services22 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61032 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims12 services$60.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

RAYMOND L. ALBERTS, M.D., P.C.
Ophthalmology
1110 S PARK BLVD
FREEPORT, IL 61032
Stephenson County (815) 232-1105
DR. RAYMOND L. ALBERTS JR. M.D.
Ophthalmology
1110 S PARK BLVD
FREEPORT, IL 61032
Stephenson County (815) 232-1105
PARK HILLS OPTICAL CO
Durable Medical Equipment & Medical Supplies
1110 S PARK BLVD
FREEPORT, IL 61032
Stephenson County (815) 235-8083

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 Jeffrey James's NPI number?

The NPI number for Jeffrey James is 1184682635. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Jeffrey James located?

Jeffrey James practices at 1110 S Park Blvd, Freeport, IL 61032. The listed phone number is (815) 232-1105.

What is Jeffrey James's specialty?

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

Is Jeffrey James enrolled in Medicare?

Yes. Jeffrey James 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 organization bills Medicare for Jeffrey James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey James reassigns Medicare benefits to The Monroe Clinic, Inc. (Freeport, IL). The 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 Jeffrey James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey James accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 6 other insurers list Jeffrey James 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 Jeffrey James affiliated with any hospitals?

According to CMS data, Jeffrey James is affiliated with The Monroe Clinic.

When was this NPI record last updated?

The NPPES record for Jeffrey James was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.