DR. MICHAEL WILLIAM MENCONI O.D.
NPI 1295963296
Optometrist in Sandwich, IL

Q: What is Michael Menconi's NPI number?

The NPI number for Michael Menconi is 1295963296. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Q: What is Michael Menconi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Menconi was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 29, 2009PECOS Enrolled

1112 E RAILROAD ST, STE 1, SANDWICH, IL 60548(815) 786-2020(815) 786-6306 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Michael William Menconi O.d. NPPES

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

DR. MICHAEL WILLIAM MENCONI O.D. (NPI 1295963296) is an individual optometrist in Sandwich, Illinois, licensed in Illinois (046.010227) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295963296

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MICHAEL WILLIAM MENCONICredential: O.D.

Location Address1112 E RAILROAD ST, STE 1Sandwich, IL 60548-1894

Mailing Address1112 E Railroad St, Ste 1Sandwich, IL 60548-1894 · (815) 786-2020 · Fax (815) 786-6306

Phone(815) 786-2020

Fax(815) 786-6306

Sole ProprietorNo

Enumeration DateJune 29, 2009

Last NPPES UpdateMay 31, 2011

✔ NPI 1295963296 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 · 046.010227

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.

1112 E RAILROAD ST, Sandwich, IL 60548

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Other Identifiers 1

Medicare PINIL5134001IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael William Menconi O.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Menconi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Visionworks, Inc.

49 mi

Optometrist

239 GOLF MILL CTR, STE 255
Niles, IL 60714

Reassigned Medicare billing, Illinois enrollment
108 clinicians in this Medicare group

NPI 1831115906 (847) 297-2286

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60548 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 2

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

MICHAEL MENCONI, OD. PC.

Optometrist

1112 E RAILROAD ST, STE 1
SANDWICH, IL 60548

Dekalb County (630) 786-2020

KARL S. CSISZER, O.D., P.C.

Optometrist

1112 E RAILROAD ST, SUITE 1
SANDWICH, IL 60548

Dekalb County (815) 786-2020

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 Michael Menconi's NPI number?

The NPI number for Michael Menconi is 1295963296. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Michael Menconi located?

Michael Menconi practices at 1112 E Railroad St Ste 1, Sandwich, IL 60548. The listed phone number is (815) 786-2020.

What is Michael Menconi's specialty?

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

Is Michael Menconi enrolled in Medicare?

Yes. Michael Menconi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Menconi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Menconi reassigns Medicare benefits to Visionworks, Inc. (Niles, IL). The 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 Michael Menconi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Menconi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael Menconi 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 Michael Menconi was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.