DR. SCOTT HAROLD KIRK M.D.
NPI 1235158098
Ophthalmology in River Forest, IL

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
77.92/100
CMS Quality Rating
7427 LAKE ST, RIVER FOREST, IL 60305(708) 771-3334(708) 771-9614 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Scott Harold Kirk M.d. NPPES

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

DR. SCOTT HAROLD KIRK M.D. (NPI 1235158098) is an individual ophthalmology provider in River Forest, Illinois, licensed in Illinois (036059716) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Washington University School Of Medicine (1978).

NPPES Registry Identity

NPI1235158098
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SCOTT HAROLD KIRKCredential: M.D.
Location Address7427 LAKE STRiver Forest, IL 60305-1817
Mailing Address7427 Lake StRiver Forest, IL 60305-1817 · (708) 771-3334 · Fax (708) 771-9614
Fax(708) 771-9614
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1978
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 4, 2023
NPPES CertifiedApril 4, 2023
NPI 1235158098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 036059716
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.
7427 LAKE ST, River Forest, IL 60305

Other Identifiers 3

Other362658561IL · Fed Tax Id #
Medicaid36059716IL
Other1607956IL · Bc/bs Illinois

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

Dr. Scott Harold Kirk 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 ID5496655698
PECOS Enrollment IDI20101115001032
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 12

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.
977 services932 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.
409 services402 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.
312 services241 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.
309 services223 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
308 services182 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.
174 services174 patients

Hospital Affiliations CMS Care Compare

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

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60305 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.

77.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost26.41

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers22 claims22 services$62.31 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims19 services$57.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Durable Medical Equipment & Medical Supplies
7427 LAKE ST
RIVER FOREST, IL 60305
Clinic/Center (Ambulatory Surgical)
7427 LAKE ST
RIVER FOREST, IL 60305
Ophthalmology (Cornea and External Diseases Specialist)
7427 LAKE ST
RIVER FOREST, IL 60305
Optometrist
7427 LAKE ST
RIVER FOREST, IL 60305
Ophthalmology
7427 LAKE ST
RIVER FOREST, IL 60305
Nurse Anesthetist, Certified Registered
7427 LAKE ST
RIVER FOREST, IL 60305
Ophthalmology
7427 LAKE ST
RIVER FOREST, IL 60305
Ophthalmology
7427 LAKE ST
RIVER FOREST, IL 60305

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 Scott Kirk's NPI number?

The NPI number for Scott Kirk is 1235158098. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Scott Kirk located?

Scott Kirk practices at 7427 Lake St, River Forest, IL 60305. The listed phone number is (708) 771-3334.

What is Scott Kirk's specialty?

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

Is Scott Kirk enrolled in Medicare?

Yes. Scott Kirk 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 Scott Kirk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Scott Kirk 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 Scott Kirk affiliated with any hospitals?

According to CMS data, Scott Kirk is affiliated with Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Kirk was last updated on April 4, 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.