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THOMAS ESPOSITO O.D.
NPI 1194260414
Optometrist in Forest Park, IL

Active since December 21, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7610 ROOSEVELT RD STE 5, FOREST PARK, IL 60130(708) 366-9278 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 10, 2017 and 1 more (4 updates tracked since 2016).

About Thomas Esposito O.d. NPPES

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

THOMAS ESPOSITO O.D. (NPI 1194260414) is an individual optometrist in Forest Park, Illinois, licensed in Illinois (046011117) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Franklin Park, and is a graduate of Illinois College Of Optometry At Chicago (2017).

NPPES Registry Identity

NPI1194260414
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTHOMAS ESPOSITOCredential: O.D.
Location Address7610 ROOSEVELT RD STE 5Forest Park, IL 60130-2295
Mailing Address600 Burlington Cir Apt 210Wheeling, IL 60090-4117 · (708) 224-5210
Phone(708) 366-9278
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2017
Enumeration DateDecember 21, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1194260414 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 · 046011117
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.
7610 ROOSEVELT RD STE 5, Forest Park, IL 60130
Open in Google Maps ↗

Secondary Practice Location 1

Location 13541 Rose St Ste BFranklin Park, IL 60131-2068 · Phone (847) 678-0808

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Esposito O.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 ID4284997297
PECOS Enrollment IDI20180404000786
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

2

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

Shoptikal LLC
22 mi
Eyewear Supplier
2 W GRAND AVE STE 107
Fox Lake, IL 60020
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
NPI 1588334155 (920) 429-2211
Sullivan Ostoich Eye Care Ltd
23 mi
Ophthalmology
1415 PALATINE RD
Hoffman Estates, IL 60192
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1598809659 (847) 776-8900

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

Areas of Expertise CMS Part B claims 2

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 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.
52 services43 patients
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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60130 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

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 Thomas Esposito's NPI number?

The NPI number for Thomas Esposito is 1194260414. It was assigned to this individual provider in the NPPES registry on December 21, 2016.

Where is Thomas Esposito located?

Thomas Esposito practices at 7610 Roosevelt Rd Ste 5, Forest Park, IL 60130. The listed phone number is (708) 366-9278.

What is Thomas Esposito's specialty?

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

Is Thomas Esposito enrolled in Medicare?

Yes. Thomas Esposito 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.

Which organizations bill Medicare for Thomas Esposito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Esposito reassigns Medicare benefits to 2 organizations: Shoptikal LLC (Fox Lake, IL) and Sullivan Ostoich Eye Care Ltd (Hoffman Estates, 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 Thomas Esposito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Esposito accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 11 other insurers list Thomas Esposito 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 Thomas Esposito was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.