DR. MARIA PICA O.D.
NPI 1003975913
Optometrist in St. Charles, IL

Q: What is Maria Pica's NPI number?

The NPI number for Maria Pica is 1003975913. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Q: What is Maria Pica's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maria Pica was last updated on March 27, 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.

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment

85.41/100

CMS Quality Rating

40W330 LAFOX ROAD, ST. CHARLES, IL 60175(630) 584-9850(630) 584-1523 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Maria Pica O.d. NPPES

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

DR. MARIA PICA O.D. (NPI 1003975913) is an individual optometrist in St. Charles, Illinois and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1994).

NPPES Registry Identity

NPI1003975913

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARIA PICACredential: O.D.

Location Address40W330 LAFOX ROADSt. Charles, IL 60175

Mailing Address40w330 Lafox RoadSt. Charles, IL 60175 · (630) 584-9850 · Fax (630) 584-1523

Phone(630) 584-9850

Fax(630) 584-1523

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1994

Enumeration DateDecember 6, 2006

Last NPPES UpdateMarch 27, 2008

✔ NPI 1003975913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

40W330 LAFOX ROAD, St. Charles, IL 60175

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Other Identifiers 5

Medicaid46008764IL

Medicare ID-Type UnspecifiedK12615IL

Other4519570IL · Bcbs

Medicare UPINU63133IL

Medicare NSC0151380001IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Maria Pica 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 ID749245082

PECOS Enrollment IDI20041129000158

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

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.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60175 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

85.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

51.37

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Other Providers at the Same Location NPPES 5

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

DR. ERIC J QUARTETTI M.D.

Ophthalmology

40W330 LAFOX ROAD
ST. CHARLES, IL 60175

Kane County (630) 584-9850

DR. ALEXANDRIA P HALKIAS O.D.

Optometrist

40W330 LAFOX ROAD
ST. CHARLES, IL 60175

Kane County (630) 584-9850

DR. BRIAN L HEFFELFINGER M.D.

Ophthalmology

40W330 LAFOX ROAD
ST. CHARLES, IL 60175

Kane County (630) 584-9850

FOX VALLEY OPHTHALMOLOGY

Ophthalmology

40W330 LAFOX ROAD
ST. CHARLES, IL 60175

Kane County (630) 584-9850

DR. BRIAN MICHAEL PENNIALL D.D.S.

Dentist

40W330 LAFOX ROAD, SUITE C-1
SAINT CHARLES, IL 60175

Kane County (630) 444-1730

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 Maria Pica's NPI number?

The NPI number for Maria Pica is 1003975913. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Maria Pica located?

Maria Pica practices at 40w330 Lafox Road, St. Charles, IL 60175. The listed phone number is (630) 584-9850.

What is Maria Pica's specialty?

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

Is Maria Pica enrolled in Medicare?

Yes. Maria Pica 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 Maria Pica accept?

Health plans from Providence Health Plan list Maria Pica 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 Maria Pica was last updated on March 27, 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.