MRS. CASSANDRA ANNE KOUTNIK O.D.
NPI 1093190019
Optometrist in Chicago, IL

Q: What is Cassandra Koutnik's NPI number?

The NPI number for Cassandra Koutnik is 1093190019. It was assigned to this individual provider in the NPPES registry on July 21, 2015. The provider is also known as Ms. Cassandra Anne Weinfurter O.D..

Q: What is Cassandra Koutnik'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 Cassandra Koutnik was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 21, 2015PECOS Enrolled

84.89/100

CMS Quality Rating

2121 W DIVISION ST, CHICAGO, IL 60622(773) 697-7370 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Mrs. Cassandra Anne Koutnik O.d. NPPES

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

MRS. CASSANDRA ANNE KOUTNIK O.D. (NPI 1093190019) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046.010904) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093190019

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMRS. CASSANDRA ANNE KOUTNIKCredential: O.D.

Location Address2121 W DIVISION STChicago, IL 60622-2948

Mailing Address2121 W Division StChicago, IL 60622-2948 · (773) 697-7370

Phone(773) 697-7370

Sole ProprietorYes

Enumeration DateJuly 21, 2015

Last NPPES UpdateFebruary 17, 2020

✔ NPI 1093190019 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 · 046.010904

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.

2121 W DIVISION ST, Chicago, IL 60622

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Other Names 1

Former Name (1)Ms. Cassandra Anne Weinfurter O.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Cassandra Anne Koutnik O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Cassandra Koutnik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Village Eye Care Ltd

3.8 mi

Optometrist

1243 S WABASH AVE, UNIT 101
Chicago, IL 60605

Reassigned Medicare billing, Illinois enrollment
13 clinicians in this Medicare group

NPI 1477601664 (312) 663-4250

Suburban Eye Specialists

15 mi

Ophthalmology

10436 SOUTHWEST HWY STE 101
Chicago Ridge, IL 60415

Reassigned Medicare billing, Illinois enrollment
17 clinicians in this Medicare group

NPI 1043794506 (708) 952-0109

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

84.89/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

45.21

Other Providers at the Same Location NPPES 3

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

KELSEY FREDERICK

Optometrist

2121 W DIVISION ST
CHICAGO, IL 60622

Cook County (773) 669-7737

RENEE RUSSO

Technician/Technologist (Optician)

2121 W DIVISION ST
CHICAGO, IL 60622

Cook County (847) 814-5514

EYE CANDY OPTICAL

Technician/Technologist (Optician)

2121 W DIVISION ST
CHICAGO, IL 60622

Cook County (847) 814-5514

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 Cassandra Koutnik's NPI number?

The NPI number for Cassandra Koutnik is 1093190019. It was assigned to this individual provider in the NPPES registry on July 21, 2015. The provider is also known as Ms. Cassandra Anne Weinfurter O.D..

Where is Cassandra Koutnik located?

Cassandra Koutnik practices at 2121 W Division St, Chicago, IL 60622. The listed phone number is (773) 697-7370.

What is Cassandra Koutnik's specialty?

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

Is Cassandra Koutnik enrolled in Medicare?

Yes. Cassandra Koutnik is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cassandra Koutnik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassandra Koutnik reassigns Medicare benefits to 2 organizations: Village Eye Care Ltd (Chicago, IL) and Suburban Eye Specialists (Chicago Ridge, IL). Each 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 Cassandra Koutnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cassandra Koutnik was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.