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Active NPI 1700356912 Individual Practitioner Male Practitioner

Dr. Andrew Ibisch , OD

Optometrist • Godfrey, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Ibisch, OD is a certified Optometrist practicing in Godfrey, IL. With approximately 8 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 2018, Dr. Ibisch delivers high-quality medical care to the local community at 1310 DADRIAN PROF PARK.

Dr. Ibisch is affiliated with Christina J. Levi O D P C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, microfluid analysis of tears, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1310 Dadrian Prof Park

Godfrey, IL 620351685

Telephone 6184335005
Fax 6184671053
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Godfrey, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -16.0 yrs vs City Avg
City Avg: 24.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Godfrey, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ibisch (8 Years) 8 Yrs
Godfrey Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
156 154 $201.70 $116.34
83861 Microfluid analysis of tears
52 25 $35.00 $22.03
92134 Imaging of retina
47 46 $264.00 $37.14
92004 New patient complete exam of visual system
42 42 $241.36 $140.42
92012 Established patient problem focused exam of visual system
36 28 $142.00 $83.37
92083 Exam of visual field with extended testing
20 20 $140.00 $56.34
92202 Extended exam of the back part of the eye with optic nerve drawing
19 19 $38.00 $14.73
92250 Photography of the retina
11 11 $125.91 $34.80

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046.011262

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.

Hospital & Practice Group Affiliations

Christina J. Levi O D P C.

1312 Mercantile Dr, Highland, IL 622491240

Phone: 6186549999

Secondary Practice Locations

610 Wesley Dr

Wood River, IL 620951894

Phone: 6182590290

110 Davidson Rd

Mount Vernon, IL 628646741

Phone: 6182447119

6660 Godfrey Rd

Godfrey, IL 620352219

Phone: 6184333008

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1013994144

Doctor of Medicine (M.D.)

NPI 1528045663

Doctor of Medicine (M.D.)

Dr. Lili Tseng , MD

Ophthalmology

NPI 1932144326

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location December 17, 2018

Registered at 1310 DADRIAN PROF PARK, GODFREY, IL 620351685 (Tel: 6184335005)

NPI Profile Active November 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2018

Registered at 6660 GODFREY RD, GODFREY, IL 620352219 (Tel: 6184333008)

📍
Updated Business Mailing Address November 30, 2018

Registered at PO BOX 207163, DALLAS, TX 753207154 (Tel: 6362004393)

👤
Provider Name / Credentials Updated November 30, 2018

Recorded as ANDREW IBISCH, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2018

Optometrist (License #046.011262 in IL)

🟢
Initial NPI Registration & Enumeration November 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700356912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2018
Last Update: December 17, 2018
Sole Proprietor: Yes

Mailing Address

Po Box 207163

Dallas, TX 753207154

Phone: 6362004393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.