TYSON J HERRMANN O.D.
NPI 1427099951
Optometrist in Decatur, IL

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
77.65/100
CMS Quality Rating
304 W HAY ST, SUITE 311, DECATUR, IL 62526(217) 698-3030(217) 698-4728 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyson J Herrmann O.d. NPPES

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

TYSON J HERRMANN O.D. (NPI 1427099951) is an individual optometrist in Decatur, Illinois, licensed in Illinois (046-009537) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Danville, and is a graduate of Illinois College Of Optometry At Chicago (2003).

NPPES Registry Identity

NPI1427099951
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTYSON J HERRMANNCredential: O.D.
Location Address304 W HAY ST, SUITE 311Decatur, IL 62526-6328
Mailing Address1104 N Vermilion StDanville, IL 61832-3094 · (217) 442-2631 · Fax (217) 442-0119
Fax(217) 698-4728
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2003
Enumeration DateJune 8, 2006
Last NPPES UpdateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
NPI 1427099951 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 · 046-009537
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.
304 W HAY ST, Decatur, IL 62526

Secondary Practice Location 1

Location 11104 N Vermilion StDanville, IL 61832-3094 · Phone (217) 442-2631 · Fax (217) 442-0119

Other Identifiers 2

Other180022789IL · Rr Medicare
Medicaid046009537IL

Accepted 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

Tyson J Herrmann 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 ID4880605849
PECOS Enrollment IDI20060505000633
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.

Areas of Expertise CMS Part B claims 10

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.
759 services677 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.
455 services283 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
404 services73 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
203 services200 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).
200 services193 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
194 services190 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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.

77.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.05
Promoting Interoperability100
Improvement Activities40
Cost40.45

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers16 claims16 services$55.36 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers16 claims32 services$11.05 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 20

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

Internal Medicine
304 W HAY ST, STE 312
DECATUR, IL 62526
Internal Medicine
304 W HAY ST, STE 312
DECATUR, IL 62526
Durable Medical Equipment & Medical Supplies
304 W HAY ST, SUITE 215
DECATUR, IL 62526
Orthopaedic Surgery (Hand Surgery)
304 W HAY ST, SUITE 215
DECATUR, IL 62526
Orthopaedic Surgery
304 W HAY ST, STE 111
DECATUR, IL 62526
Optometrist
304 W HAY ST, SUITE 311
DECATUR, IL 62526
Orthopaedic Surgery
304 W HAY ST, SUITE 111
DECATUR, IL 62526
Orthopaedic Surgery
304 W HAY ST, SUITE 213
DECATUR, IL 62526

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 Tyson Herrmann's NPI number?

The NPI number for Tyson Herrmann is 1427099951. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Tyson Herrmann located?

Tyson Herrmann practices at 304 W Hay St Suite 311, Decatur, IL 62526. The listed phone number is (217) 698-3030.

What is Tyson Herrmann's specialty?

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

Is Tyson Herrmann enrolled in Medicare?

Yes. Tyson Herrmann 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 Tyson Herrmann 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 2 other insurers list Tyson Herrmann 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 Tyson Herrmann was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.