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DR. BRIAN BOUTON OD
NPI 1154375392
Optometrist in Joliet, IL

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
2537 PLAINFIELD RD, JOLIET, IL 60435(815) 577-2020(815) 577-0998 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian Bouton Od NPPES

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

DR. BRIAN BOUTON OD (NPI 1154375392) is an individual optometrist in Joliet, Illinois, licensed in Illinois (046009118) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1997).

NPPES Registry Identity

NPI1154375392
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRIAN BOUTONCredential: OD
Location Address2537 PLAINFIELD RDJoliet, IL 60435-1463
Mailing Address2537 Plainfield RdJoliet, IL 60435-1463 · (815) 577-2020 · Fax (815) 577-0998
Phone(815) 577-2020
Fax(815) 577-0998
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1997
Enumeration DateMay 20, 2006
Last NPPES UpdateAugust 5, 2013
✔ NPI 1154375392 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 · 046009118
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.
2537 PLAINFIELD RD, Joliet, IL 60435
Open in Google Maps ↗

Other Identifiers 5

Other1457618621IL · Aetna
Medicaid046009118IL
Medicare UPINU72940IL
Other0009919581IL · Blue Cross Blue Shield Il
Medicare OSCAR/certificationIL7483IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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. Brian Bouton 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 ID4587608054
PECOS Enrollment IDI20050615000540
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 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.

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.
209 services209 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.
205 services197 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.
105 services68 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.
45 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services33 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
36 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60435 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.

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
100%30 patients5/55-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.

DR. BETH ANN SWETLAND OD
Optometrist
2537 PLAINFIELD RD
JOLIET, IL 60435
Will County (815) 577-2020
EYE 2 EYE VISION CENTER PC
Optometrist
2537 PLAINFIELD RD
JOLIET, IL 60435
Will County (815) 577-2020

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 Brian Bouton's NPI number?

The NPI number for Brian Bouton is 1154375392. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Brian Bouton located?

Brian Bouton practices at 2537 Plainfield Rd, Joliet, IL 60435. The listed phone number is (815) 577-2020.

What is Brian Bouton's specialty?

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

Is Brian Bouton enrolled in Medicare?

Yes. Brian Bouton 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 Brian Bouton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Brian Bouton 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 Brian Bouton was last updated on August 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.