1. Home
  2. Directory
  3. Illinois
  4. Pinckneyville
  5. Optometrist
  6. NPI Profile

DR. JOSEPH FRANK GRASSO O.D.
NPI 1003898768
Optometrist in Pinckneyville, IL

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
15 N LOCUST ST, PINCKNEYVILLE, IL 62274(618) 357-6117(618) 357-3406 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joseph Frank Grasso O.d. NPPES

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

DR. JOSEPH FRANK GRASSO O.D. (NPI 1003898768) is an individual optometrist in Pinckneyville, Illinois, licensed in Illinois (046006727) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1975).

NPPES Registry Identity

NPI1003898768
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOSEPH FRANK GRASSOCredential: O.D.
Location Address15 N LOCUST STPinckneyville, IL 62274-1147
Mailing Address15 N Locust StPinckneyville, IL 62274-1147 · (618) 357-6117 · Fax (618) 357-3406
Phone(618) 357-6117
Fax(618) 357-3406
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1975
Enumeration DateNovember 17, 2005
Last NPPES UpdateFebruary 22, 2008
✔ NPI 1003898768 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 · 046006727
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.
15 N LOCUST ST, Pinckneyville, IL 62274
Open in Google Maps ↗

Other Identifiers 16

Medicare NSC3979170005
Medicare NSC3979170004
Medicare PINL72924
Medicare UPINT38737
Medicare PINL86509
Medicare PIN410042046
Medicare PINL86479
Medicare PINL72925
Medicare PIN410047520
Medicare NSC3979170001
Medicare PIN410042197
Medicare NSC3979170002
Medicare PINL86499
Medicare NSC3979170003
Medicare PIN410045370
Medicare PIN410042198

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Dr. Joseph Frank Grasso 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 ID2668420837
PECOS Enrollment IDI20050418000312
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.

Medicare Billing Reassignment

Medicare enrollment records show Joseph Grasso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Illinois Eye Care PLLC
Same address
Optometrist
15 N LOCUST ST
Pinckneyville, IL 62274
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Southern Illinois Eyecare PLLC
  • 4 clinicians in this Medicare group
NPI 1053466045 (618) 357-6117

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 9

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
7,472 services58 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.
243 services146 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.
236 services233 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.
83 services83 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.
80 services80 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).
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62274 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
97%252 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
37%139 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
67%3,839 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%676 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%454 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%491 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
86%3,083 patients4/55-star benchmark: 99%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 89% · 708 patients
98%708 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
96%175 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
83%3,083 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 2

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

SOUTHERN ILLINOIS EYE CARE PLLC
Optometrist
15 N LOCUST ST
PINCKNEYVILLE, IL 62274
Perry County (618) 357-6117
ONEOPTO IL 1 PLLC
Optometrist
15 N LOCUST ST
PINCKNEYVILLE, IL 62274
Perry County (618) 357-6117

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 Joseph Grasso's NPI number?

The NPI number for Joseph Grasso is 1003898768. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Joseph Grasso located?

Joseph Grasso practices at 15 N Locust St, Pinckneyville, IL 62274. The listed phone number is (618) 357-6117.

What is Joseph Grasso's specialty?

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

Is Joseph Grasso enrolled in Medicare?

Yes. Joseph Grasso 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 organization bills Medicare for Joseph Grasso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Grasso reassigns Medicare benefits to Southern Illinois Eye Care PLLC (Pinckneyville, IL). The 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 Joseph Grasso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Grasso accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health Insurance and 6 other insurers list Joseph Grasso 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 Joseph Grasso was last updated on February 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.