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DR. DENA L BACHMAN O.D.
NPI 1285695585
Optometrist in Brighton, IL

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
101 N MAPLE ST, BRIGHTON, IL 62012(618) 372-7000(618) 371-7003 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dena L Bachman O.d. NPPES

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

DR. DENA L BACHMAN O.D. (NPI 1285695585) is an individual optometrist in Brighton, Illinois and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1993).

NPPES Registry Identity

NPI1285695585
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DENA L BACHMANCredential: O.D.
Location Address101 N MAPLE STBrighton, IL 62012-1053
Mailing Address101 N Maple StBrighton, IL 62012-1053 · (618) 372-7000 · Fax (618) 371-7003
Phone(618) 372-7000
Fax(618) 371-7003
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1993
Enumeration DateMarch 28, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1285695585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
101 N MAPLE ST, Brighton, IL 62012
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Other Identifiers 12

Other168095IL · Cole
Medicare NSC4490960001IL
Other438769IL · Healthlink
Other2280644IL · Uhc
Other5075438IL · Aetna
OtherU43513IL · Mercy
Other4040370IL · Bcbs
Medicare ID-Type UnspecifiedL90820IL · Medicare
Other128048IL · Ghp
OtherIL8614IN · Eye Med
OtherU43513IN · Mercy
Medicare ID-Type Unspecified201251IL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Dena L Bachman 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 ID3870508096
PECOS Enrollment IDI20060209000294
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 13

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.

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.
3,184 services22 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.
312 services173 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.
230 services215 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.
222 services217 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.
165 services109 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.
116 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62012 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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

Reported Quality Measures

Advance Care Plan
100%25 patients5/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%86 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
61%153 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
0%67 patients5/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
6%3,019 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
15%767 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
97%164 patients
Tobacco Use and Help with Quitting Among Adolescents
8%191 patients1/55-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 supplier14 claims14 services$62.44 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 supplier11 claims22 services$51.58 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 3

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

PEC BRIGHTON PLLC
Optometrist
101 N MAPLE ST
BRIGHTON, IL 62012
Jersey County (618) 372-7000
SOUTHWESTERN EYE CARE
Optometrist
101 N MAPLE ST
BRIGHTON, IL 62012
Jersey County (618) 372-7000
DR. LEWIS F JONES III O.D.
Optometrist
101 N MAPLE ST
BRIGHTON, IL 62012
Jersey County (618) 372-7000

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 Dena Bachman's NPI number?

The NPI number for Dena Bachman is 1285695585. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Dena Bachman located?

Dena Bachman practices at 101 N Maple St, Brighton, IL 62012. The listed phone number is (618) 372-7000.

What is Dena Bachman's specialty?

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

Is Dena Bachman enrolled in Medicare?

Yes. Dena Bachman 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 Dena Bachman accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Dena Bachman 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 Dena Bachman was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.