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

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: July 19, 2026.

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
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

Other Names 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
Quality100
Improvement Activities40
Cost45.21

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.

Technician/Technologist (Optician)
2121 W DIVISION ST
CHICAGO, IL 60622
Technician/Technologist (Optician)
2121 W DIVISION ST
CHICAGO, IL 60622
Optometrist
2121 W DIVISION ST
CHICAGO, IL 60622

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.

What insurance does Cassandra Koutnik accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Cassandra Koutnik 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 Cassandra Koutnik was last updated on February 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.