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DR. CATHERINE THERESA THURUTHUMALY MD
NPI 1225395403
Ophthalmology in Chicago, IL

Active since April 12, 2012PECOS Enrolled
80.46/100
CMS Quality Rating
680 N LAKE SHORE DR, CHICAGO, IL 60611(312) 695-6868 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 12, 2018, Mar 17, 2018, Jun 26, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Catherine Theresa Thuruthumaly Md NPPES

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

DR. CATHERINE THERESA THURUTHUMALY MD (NPI 1225395403) is an individual ophthalmology provider in Chicago, Illinois, licensed in Wisconsin (69247) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1225395403
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. CATHERINE THERESA THURUTHUMALYCredential: MD
Location Address680 N LAKE SHORE DRChicago, IL 60611
Mailing Address925 N 87th StMilwaukee, WI 53226-4812 · (414) 456-2020 · Fax (414) 456-6300
Phone(312) 695-6868
Sole ProprietorNo
Enumeration DateApril 12, 2012
Last NPPES UpdateJune 12, 20184 updates tracked since enumeration
✔ NPI 1225395403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in WI · 69247✔ Licensed in FL · ME128136
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
680 N LAKE SHORE DR, Chicago, IL 60611
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Secondary Practice Location 1

Location 1680 N Lake Shore DrChicago, IL 60611-4546 · Phone (312) 695-6868

Other Identifiers 1

Medicaid1225395403WI

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Catherine Theresa Thuruthumaly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
275 services167 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.
132 services113 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
53 services53 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.
31 services30 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.
26 services24 patients
Insertion of eye fluid drainage device 66183
The insertion of an eye fluid drainage device is a procedure to manage eye pressure. A small device is placed in the eye to help drain excess fluid, reducing pressure that can damage the optic nerve and lead to vision loss. This procedure is often used for glaucoma treatment.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

Other Providers at the Same Location NPPES 20

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

MRS. BONNIE DEVROE MALIK CRNA
Nurse Anesthetist, Certified Registered
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
IMG MD, LLC
Medical Genetics, Ph.D. Medical Genetics
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 981-4400
DR. JAY MICHAEL PENSLER M.D.
Specialist
680 N LAKE SHORE DR, SUITE 1125
CHICAGO, IL 60611
Cook County (312) 642-7777
JAY PRYSTOWSKY MD
Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
ANURADHA PERNI MD
Anesthesiology (Pain Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C.
Obstetrics & Gynecology (Gynecology)
680 N LAKE SHORE DR, SUITE117
CHICAGO, IL 60611
Cook County (312) 654-1166
DR. LEANNE TRAPP BENSKO M.D.
Pediatrics
680 N LAKE SHORE DR, 1050
CHICAGO, IL 60611
Cook County (312) 642-5515
DR. JULIA GOLDIN DNP
Nurse Practitioner (Family)
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 965-6868

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 Catherine Thuruthumaly's NPI number?

The NPI number for Catherine Thuruthumaly is 1225395403. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Catherine Thuruthumaly located?

Catherine Thuruthumaly practices at 680 N Lake Shore Dr, Chicago, IL 60611. The listed phone number is (312) 695-6868.

What is Catherine Thuruthumaly's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Catherine Thuruthumaly enrolled in Medicare?

Yes. Catherine Thuruthumaly is registered in the Medicare PECOS enrollment system.

What insurance does Catherine Thuruthumaly accept?

Health plans from Anthem Blue Cross and Blue Shield list Catherine Thuruthumaly 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 Catherine Thuruthumaly was last updated on June 12, 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.