DR. PHILIP LYLE GILDERSLEEVE O.D.
NPI 1740388990
Optometrist in Oneill, NE

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
96.22/100
CMS Quality Rating
612 N 4TH ST, POB 818, ONEILL, NE 68763(402) 336-2220(402) 336-4845 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Philip Lyle Gildersleeve O.d. NPPES

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

DR. PHILIP LYLE GILDERSLEEVE O.D. (NPI 1740388990) is an individual optometrist in Oneill, Nebraska, licensed in Nebraska (856) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1980).

NPPES Registry Identity

NPI1740388990
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PHILIP LYLE GILDERSLEEVECredential: O.D.
Location Address612 N 4TH ST, POB 818Oneill, NE 68763-1326
Mailing Address612 N 4th St, Pob 818Oneill, NE 68763-1326 · (402) 336-2220 · Fax (402) 336-4845
Fax(402) 336-4845
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1980
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 15, 2007
NPI 1740388990 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 NE · 856
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.
612 N 4TH ST, Oneill, NE 68763

Other Identifiers 2

Medicare PIN281160NE
OtherP00410801NE · Rr Medicare

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

Dr. Philip Lyle Gildersleeve 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 ID7810093382
PECOS Enrollment IDI20070516000480
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 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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
629 services428 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.
430 services403 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.
367 services169 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
193 services172 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.
133 services127 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).
99 services95 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68763 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.

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.

96.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.45
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
15%86 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
7%27 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
99%140 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
100%67 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%2,030 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%679 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 12% · 464 patients
Patients screened: 91% · 464 patients
100%42 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
99%128 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 532 patients
Patients totalRate: 0% · 532 patients
0%532 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
1 supplier22 claims22 services$49.80 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier22 claims41 services$41.72 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 2

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

Optometrist
612 N 4TH ST
ONEILL, NE 68763
Assistant, Podiatric
612 N 4TH ST
ONEILL, NE 68763

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 Philip Gildersleeve's NPI number?

The NPI number for Philip Gildersleeve is 1740388990. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Philip Gildersleeve located?

Philip Gildersleeve practices at 612 N 4th St Pob 818, Oneill, NE 68763. The listed phone number is (402) 336-2220.

What is Philip Gildersleeve's specialty?

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

Is Philip Gildersleeve enrolled in Medicare?

Yes. Philip Gildersleeve 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 Philip Gildersleeve accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 4 other insurers list Philip Gildersleeve 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 Philip Gildersleeve was last updated on November 15, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.