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TYLER R JEVNE OD
NPI 1689142770
Optometrist in Omaha, NE

Active since November 06, 2018PECOS EnrolledAccepts Medicare Assignment
6751 N 72ND ST STE 105, OMAHA, NE 68122(402) 572-2020(402) 572-2150 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler R Jevne Od NPPES

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

TYLER R JEVNE OD (NPI 1689142770) is an individual optometrist in Omaha, Nebraska, licensed in Nebraska (1528) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689142770
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTYLER R JEVNECredential: OD
Location Address6751 N 72ND ST STE 105Omaha, NE 68122-1746
Mailing Address1400 Common DrEl Paso, TX 79936-5922 · (915) 595-4375 · Fax (915) 595-4460
Phone(402) 572-2020
Fax(402) 572-2150
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 6, 2018
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1689142770 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 NE · 1528✔ Licensed in TX · 9562T
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.
6751 N 72ND ST STE 105, Omaha, NE 68122
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Tyler R Jevne 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 ID2961746508
PECOS Enrollment IDI20211013001518
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 4

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 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.
16 services16 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.
16 services13 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.
12 services12 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68122 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 2

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

DR. BENJAMIN RANDALL GROTH O.D.
Optometrist
6751 N 72ND ST STE 105
OMAHA, NE 68122
Douglas County (402) 572-2020
ALYSSA ANN CALTA OD
Optometrist
6751 N 72ND ST STE 105
OMAHA, NE 68122
Douglas County (402) 572-2020

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 Tyler Jevne's NPI number?

The NPI number for Tyler Jevne is 1689142770. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Tyler Jevne located?

Tyler Jevne practices at 6751 N 72nd St Ste 105, Omaha, NE 68122. The listed phone number is (402) 572-2020.

What is Tyler Jevne's specialty?

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

Is Tyler Jevne enrolled in Medicare?

Yes. Tyler Jevne 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 Tyler Jevne accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross Blue Shield of Wyoming and 11 other insurers list Tyler Jevne 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 Tyler Jevne was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.