PAIGE PAULAS PANTOJA OD
NPI 1144843525
Optometrist in Champaign, IL

Active since May 20, 2020PECOS EnrolledAccepts Medicare Assignment
84.2/100
CMS Quality Rating
525 W TOWN CENTER BLVD, CHAMPAIGN, IL 61822(217) 531-5393 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2024, Apr 4, 2023, Jun 22, 2020 and 1 more (4 updates tracked since 2020).

About Paige Paulas Pantoja Od NPPES

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

PAIGE PAULAS PANTOJA OD (NPI 1144843525) is an individual optometrist in Champaign, Illinois, licensed in Illinois (046.011726) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144843525
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePAIGE PAULAS PANTOJACredential: OD
Location Address525 W TOWN CENTER BLVDChampaign, IL 61822-1248
Mailing Address525 W Town Center BlvdChampaign, IL 61822-1248 · (217) 531-5393
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 20, 2020
Last NPPES UpdateDecember 31, 20244 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
NPI 1144843525 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 · 046.011726
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.
525 W TOWN CENTER BLVD, Champaign, IL 61822

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 and accepts Medicare assignment

Paige Paulas Pantoja Od 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 ID8123440724
PECOS Enrollment IDI20230419000881
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 61822 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.

84.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.41
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Eyewear Supplier
525 W TOWN CENTER BLVD
CHAMPAIGN, IL 61822
Optometrist
525 W TOWN CENTER BLVD
CHAMPAIGN, IL 61822
Optometrist
525 W TOWN CENTER BLVD
CHAMPAIGN, IL 61822
Optometrist
525 W TOWN CENTER BLVD
CHAMPAIGN, IL 61822

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 Paige Pantoja's NPI number?

The NPI number for Paige Pantoja is 1144843525. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Paige Pantoja located?

Paige Pantoja practices at 525 W Town Center Blvd, Champaign, IL 61822. The listed phone number is (217) 531-5393.

What is Paige Pantoja's specialty?

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

Is Paige Pantoja enrolled in Medicare?

Yes. Paige Pantoja 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 Paige Pantoja accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Paige Pantoja 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 Paige Pantoja was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.