DR. JEFFREY R HENLINE OD
NPI 1275526790
Optometrist in Peoria, IL

Active since August 30, 2005PECOS Enrolled
81.66/100
CMS Quality Rating
400 NE SAINT MARK CT, PEORIA, IL 61603(309) 674-1234(309) 674-6422 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jeffrey R Henline Od NPPES

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

DR. JEFFREY R HENLINE OD (NPI 1275526790) is an individual optometrist in Peoria, Illinois, licensed in Illinois (046007713) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275526790
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEFFREY R HENLINECredential: OD
Location Address400 NE SAINT MARK CTPeoria, IL 61603-3717
Mailing Address400 Ne Saint Mark CtPeoria, IL 61603-3717 · (309) 674-1234 · Fax (309) 674-6422
Fax(309) 674-6422
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateJune 18, 2010
✔ NPI 1275526790 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 IL · 046007713
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.
400 NE SAINT MARK CT, Peoria, IL 61603

Other Identifiers 3

Medicare UPINT38921
Medicaid046007713IL
Medicare PIN776191IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey R Henline Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jeffrey Henline reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
725 S 14TH ST
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
Optometrist
101 N VETERANS PKWY
Bloomington, IL 61704
  • Reassigned Medicare billing, Illinois enrollment
  • 36 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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.

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.

81.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.6
Improvement Activities40
Cost43.38

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.

Ophthalmology
400 NE SAINT MARK CT
PEORIA, IL 61603
Obstetrics & Gynecology
400 NE SAINT MARK CT
PEORIA, IL 61603
Ophthalmology
400 NE SAINT MARK CT
PEORIA, IL 61603

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 Henline's NPI number?

The NPI number for Jeffrey Henline is 1275526790. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Jeffrey Henline located?

Jeffrey Henline practices at 400 NE Saint Mark Ct, Peoria, IL 61603. The listed phone number is (309) 674-1234.

What is Jeffrey Henline's specialty?

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

Is Jeffrey Henline enrolled in Medicare?

Yes. Jeffrey Henline is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffrey Henline's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Henline reassigns Medicare benefits to 2 organizations: Bond Eye Associates, Sc (Pekin, IL) and Vep Il Optometric LLC (Bloomington, IL). 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 Jeffrey Henline's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Henline was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.