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ANDREW JOSEPH MILDER O.D.
NPI 1194509554
Optometrist in Peoria, IL

Active since August 24, 2023PECOS EnrolledAccepts Medicare Assignment
4727 N SHERIDAN RD, PEORIA, IL 61614(309) 670-2020 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrew Joseph Milder O.d. NPPES

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

ANDREW JOSEPH MILDER O.D. (NPI 1194509554) is an individual optometrist in Peoria, Illinois, licensed in Illinois (046.011782) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Indiana University - School Of Optometry (2023).

NPPES Registry Identity

NPI1194509554
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameANDREW JOSEPH MILDERCredential: O.D.
Location Address4727 N SHERIDAN RDPeoria, IL 61614-5925
Mailing Address4727 N Sheridan RdPeoria, IL 61614-5925 · (309) 670-2020
Phone(309) 670-2020
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2023
Enumeration DateAugust 24, 2023
NPPES CertifiedAugust 24, 2023
✔ NPI 1194509554 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 · 046.011782
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.
4727 N SHERIDAN RD, Peoria, IL 61614
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Secondary Practice Location 1

Location 11009 N Cummings LnWashington, IL 61571-9646 · Phone (309) 444-8811

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health 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

Andrew Joseph Milder 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 ID1456707017
PECOS Enrollment IDI20251003001618
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

5

Medicare enrollment records show Andrew Milder reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
Same address
Optometrist
4727 N SHERIDAN RD
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1306837307 (309) 685-2020
Vision Care Center PC
Same address
Optometrist
4727 N SHERIDAN RD
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1043291677 (309) 670-2020
Tazewell County Resource Centers Inc
5.6 mi
Low Vision Rehabilitation
111 W WASHINGTON ST, SUITE 410
East Peoria, IL 61611
  • Reassigned Medicare billing, Illinois enrollment
NPI 1265431506 (309) 698-4001
Mvc Vision 01 PLLC
226 mi
Ophthalmology
6880 EP TRUE PKWY, SUITE 110
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 4 clinicians in this Medicare group
NPI 1265239339 (402) 933-7232
Mvs Vision 02 PLLC
226 mi
Ophthalmology
6880 EP TRUE PKWY, SUITE 109
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 4 clinicians in this Medicare group
NPI 1689411514 (402) 933-7232

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 5

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.
60 services60 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.
40 services32 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.
33 services32 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.
32 services27 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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.

Other Providers at the Same Location NPPES 5

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

VISION CARE CENTER PC
Optometrist
4727 N SHERIDAN RD
PEORIA, IL 61614
Peoria County (309) 670-2020
COMPREHENSIVE HEMOSTASIS AND THROMBOSIS INSTITUTE
Clinical Medical Laboratory
4727 N SHERIDAN RD
PEORIA, IL 61614
Peoria County (309) 688-1345
ROGER W FITCH O.D.
Optometrist
4727 N SHERIDAN RD
PEORIA, IL 61614
Peoria County (309) 685-2020
COMPREHENSIVE BLEEDING DISORDERS CENTER
Pharmacy
4727 N SHERIDAN RD
PEORIA, IL 61614
Peoria County (309) 688-1345
MIDWEST EYE CARE PC
Durable Medical Equipment & Medical Supplies
4727 N SHERIDAN RD
PEORIA, IL 61614
Peoria County (309) 685-2424

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 Andrew Milder's NPI number?

The NPI number for Andrew Milder is 1194509554. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Where is Andrew Milder located?

Andrew Milder practices at 4727 N Sheridan Rd, Peoria, IL 61614. The listed phone number is (309) 670-2020.

What is Andrew Milder's specialty?

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

Is Andrew Milder enrolled in Medicare?

Yes. Andrew Milder 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 Andrew Milder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Milder reassigns Medicare benefits to 5 organizations: (Peoria, IL), Vision Care Center PC (Peoria, IL), Tazewell County Resource Centers Inc (East Peoria, IL), Mvc Vision 01 PLLC (West Des Moines, IA) and Mvs Vision 02 PLLC (West Des Moines, IA). 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 Andrew Milder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Milder accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 10 other insurers list Andrew Milder 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 Andrew Milder was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.