ANDREW IBISCH OD
NPI 1700356912
Optometrist in Godfrey, IL
About Andrew Ibisch Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW IBISCH OD (NPI 1700356912) is an individual optometrist in Godfrey, Illinois, licensed in Illinois (046.011262) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Missouri St Louis - School Of Optometry (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted 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
Andrew Ibisch 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.
Medicare Billing Reassignments
3Medicare enrollment records show Andrew Ibisch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edwardsville, IL 62025
- Reassigned Medicare billing, Illinois enrollment
- 127 clinicians in this Medicare group
Swansea, IL 62226
- Reassigned Medicare billing, Illinois enrollment
- 32 clinicians in this Medicare group
Ballwin, MO 63011
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Clarkson Optometry Illinois, PC
- 34 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Andrew Ibisch's NPI number?
The NPI number for Andrew Ibisch is 1700356912. It was assigned to this individual provider in the NPPES registry on November 30, 2018.
Where is Andrew Ibisch located?
Andrew Ibisch practices at 1310 Dadrian Prof Park, Godfrey, IL 62035. The listed phone number is (618) 433-5005.
What is Andrew Ibisch's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Andrew Ibisch enrolled in Medicare?
Yes. Andrew Ibisch 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 organizations bill Medicare for Andrew Ibisch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Ibisch reassigns Medicare benefits to 3 organizations: Christina J. Levi O D P C (Edwardsville, IL), Jfj Eyecare, Ltd (Swansea, IL) and Clarkson Optometry Illinois, P.C. (Ballwin, MO). 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 Andrew Ibisch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Ibisch accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 16 other insurers list Andrew Ibisch 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 Andrew Ibisch was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Andrew Ibisch, OD · NPI 1700356912
Optometrist provider in Godfrey, Illinois. Individual provider, active in the CMS NPPES registry since November 30, 2018.
## Identity
- **NPI:** 1700356912 (Entity type: Individual)
- **Enumerated:** November 30, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 046.011262 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1310 DADRIAN PROF PARK, Godfrey, IL 62035-1685
- **Phone:** (618) 433-5005 · **Fax:** (618) 467-1053
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Christina J. Levi O D P C (NPI 1477703411, Edwardsville, IL); Jfj Eyecare, Ltd (NPI 1376586685, Swansea, IL); Clarkson Optometry Illinois, P.C. (NPI 1548635758, Ballwin, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri St Louis - School Of Optometry, class of 2018
## Record status
- **NPPES last updated:** December 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1700356912) · Data from the CMS NPPES public registry.