DR. MARK S. DIKOPF M.D.
NPI 1255673364
Ophthalmology in Arlington Heights, IL

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1604 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005(847) 394-1414(847) 418-8928 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2023, Jan 14, 2022, May 3, 2018 (3 updates tracked since 2018).

About Dr. Mark S. Dikopf M.d. NPPES

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

DR. MARK S. DIKOPF M.D. (NPI 1255673364) is an individual ophthalmology provider in Arlington Heights, Illinois, licensed in Illinois (036142508) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255673364
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARK S. DIKOPFCredential: M.D.
Location Address1604 W CENTRAL RDArlington Heights, IL 60005-2407
Mailing Address1604 W Central RdArlington Heights, IL 60005-2407 · (847) 394-1414
Fax(847) 418-8928
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2012
Enumeration DateMarch 27, 2013
Last NPPES UpdateApril 11, 20233 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
NPI 1255673364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 036142508
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.
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 036142508 (IL)
1604 W CENTRAL RD, Arlington Heights, IL 60005

Secondary Practice Locations 2

Location 11555 Barrington Rd Ste 320Hoffman Estates, IL 60169-1064 · Phone (847) 882-5848 · Fax (847) 418-8928
Location 25067 N Lincoln Ave Ste 2NChicago, IL 60625-8370 · Phone (773) 275-1390 · Fax (847) 418-8928

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. Mark S. Dikopf 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 ID5698085900
PECOS Enrollment IDI20170818001981
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 21

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 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.
1,624 services699 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.
737 services595 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
610 services514 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.
607 services548 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).
539 services530 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
466 services433 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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
Individually scored
Quality100
Improvement Activities40
Cost100

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%206 patients
Diabetes: Eye Exam
98%393 patients4/55-star benchmark: 100%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%27 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,825 patients
Patients totalRate: 0% · 1,825 patients
0%1,825 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
1 supplier17 claims17 services$52.06 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims28 services$54.81 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 8

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

Optometrist
1604 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Ophthalmology
1604 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Ophthalmology
1604 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Ophthalmology
1604 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Ophthalmology
1604 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Cardiovascular Disease)
1604 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Internal Medicine (Cardiovascular Disease)
1604 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005
Ophthalmology
1604 W CENTRAL RD
ARLINGTON HEIGHTS, IL 60005

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 Mark Dikopf's NPI number?

The NPI number for Mark Dikopf is 1255673364. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Mark Dikopf located?

Mark Dikopf practices at 1604 W Central Rd, Arlington Heights, IL 60005. The listed phone number is (847) 394-1414.

What is Mark Dikopf's specialty?

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

Is Mark Dikopf enrolled in Medicare?

Yes. Mark Dikopf 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.

Is Mark Dikopf affiliated with any hospitals?

According to CMS data, Mark Dikopf is affiliated with Advocate Lutheran General Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Mark Dikopf was last updated on April 11, 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.