RACHEL EPSTEIN M.D.
NPI 1164863353
Ophthalmology - Cornea and External Diseases Specialist in Highland Park, IL

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment
85.34/100
CMS Quality Rating
806 CENTRAL AVE, HIGHLAND PARK, IL 60035(847) 432-6010 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rachel Epstein M.d. NPPES

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

RACHEL EPSTEIN M.D. (NPI 1164863353) is an individual cornea and external diseases specialist in Highland Park, Illinois, licensed in Illinois (036145185) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164863353
Entity TypeIndividualFemale
Primary Taxonomy207WX0120X
Provider Legal NameRACHEL EPSTEINCredential: M.D.
Location Address806 CENTRAL AVEHighland Park, IL 60035
Mailing Address806 Central AveHighland Park, IL 60035-5613
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 16, 2013
Last NPPES UpdateJune 19, 2018
NPI 1164863353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
License Licensed in IL · 036145185
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
806 CENTRAL AVE, Highland Park, IL 60035

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

Rachel Epstein M.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 ID2466742994
PECOS Enrollment IDI20180730003532
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 13

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.
180 services173 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
134 services84 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
96 services88 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
86 services83 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.
84 services84 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
84 services69 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 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.

85.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.74
Improvement Activities40
Cost52.81

Other Providers at the Same Location NPPES 18

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

Optometrist (Corneal and Contact Management)
806 CENTRAL AVE, SUITE 300
HIGHLAND PARK, IL 60035
Dentist
806 CENTRAL AVE, SUITE 201
HIGHLAND PARK, IL 60035
Internal Medicine (Gastroenterology)
806 CENTRAL AVE, SUITE 202
HIGHLAND PARK, IL 60035
Internal Medicine (Gastroenterology)
806 CENTRAL AVE, SUITE 202
HIGHLAND PARK, IL 60035
Family Medicine (Adult Medicine)
806 CENTRAL AVE, 203
HIGHLAND PARK, IL 60035
Durable Medical Equipment & Medical Supplies
806 CENTRAL AVE, STE 300
HIGHLAND PARK, IL 60035
Audiologist
806 CENTRAL AVE, SUITE 103
HIGHLAND PARK, IL 60035
Ophthalmology
806 CENTRAL AVE, STE 300
HIGHLAND PARK, IL 60035

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 Rachel Epstein's NPI number?

The NPI number for Rachel Epstein is 1164863353. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Where is Rachel Epstein located?

Rachel Epstein practices at 806 Central Ave, Highland Park, IL 60035. The listed phone number is (847) 432-6010.

What is Rachel Epstein's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Rachel Epstein enrolled in Medicare?

Yes. Rachel Epstein 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 Rachel Epstein accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Rachel Epstein 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.

Is Rachel Epstein affiliated with any hospitals?

According to CMS data, Rachel Epstein is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Epstein was last updated on June 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.