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DR. SANDRA ROSE PELFREY-JONES O.D.
NPI 1770589244
Optometrist in Lincoln, IL

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
1477 WOODLAWN RD, LINCOLN, IL 62656(217) 735-1707(217) 735-1903 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sandra Rose Pelfrey-jones O.d. NPPES

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

DR. SANDRA ROSE PELFREY-JONES O.D. (NPI 1770589244) is an individual optometrist in Lincoln, Illinois, licensed in Illinois (046008900) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (1994).

NPPES Registry Identity

NPI1770589244
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SANDRA ROSE PELFREY-JONESCredential: O.D.
Location Address1477 WOODLAWN RDLincoln, IL 62656-9790
Mailing Address8309 N Knoxville AvePeoria, IL 61615-2170 · (309) 693-9540 · Fax (309) 693-9542
Phone(217) 735-1707
Fax(217) 735-1903
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 1994
Enumeration DateJune 21, 2005
Last NPPES UpdateJanuary 10, 2025
✔ NPI 1770589244 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 · 046008900
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.
1477 WOODLAWN RD, Lincoln, IL 62656
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Accepted Insurance

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

Dr. Sandra Rose Pelfrey-jones 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 ID9739176074
PECOS Enrollment IDI20040428000760
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 3

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.
84 services84 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
27 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62656 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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
96%52 patients4/55-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.

Other Providers at the Same Location NPPES

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

J A K ENTERPRISES INC
Durable Medical Equipment & Medical Supplies
1477 WOODLAWN RD
LINCOLN, IL 62656
Logan County (217) 735-1707

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 Sandra Pelfrey-jones's NPI number?

The NPI number for Sandra Pelfrey-jones is 1770589244. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Sandra Pelfrey-jones located?

Sandra Pelfrey-jones practices at 1477 Woodlawn Rd, Lincoln, IL 62656. The listed phone number is (217) 735-1707.

What is Sandra Pelfrey-jones's specialty?

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

Is Sandra Pelfrey-jones enrolled in Medicare?

Yes. Sandra Pelfrey-jones 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 Sandra Pelfrey-jones accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Sandra Pelfrey-jones 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 Sandra Pelfrey-jones was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.