SHAWN M KOEHLER O.D.
NPI 1336180876
Optometrist in Bloomington, IL

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
71.4/100
CMS Quality Rating
1008 N MAIN ST, BLOOMINGTON, IL 61701(309) 829-5311(309) 827-8027 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shawn M Koehler O.d. NPPES

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

SHAWN M KOEHLER O.D. (NPI 1336180876) is an individual optometrist in Bloomington, Illinois, licensed in Illinois (046-009486) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2002).

NPPES Registry Identity

NPI1336180876
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSHAWN M KOEHLERCredential: O.D.
Location Address1008 N MAIN STBloomington, IL 61701-1784
Mailing Address1008 N Main StBloomington, IL 61701-1784 · (309) 829-5311 · Fax (309) 827-8027
Fax(309) 827-8027
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2002
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 1, 2016
NPI 1336180876 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 · 046-009486
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.

1008 N MAIN ST, Bloomington, IL 61701

Other Identifiers 2

Medicare UPINU92661
Medicare PINL97398

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

Shawn M Koehler 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 ID8224226519
PECOS Enrollment IDI20101230001024
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 10

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.
1,434 services1,371 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.
910 services573 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.
528 services507 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.
301 services290 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).
260 services255 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.
259 services259 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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.

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.

71.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.01
Promoting Interoperability84
Improvement Activities40
Cost19.01

Other Providers at the Same Location NPPES 10

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

Specialist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Optometrist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Specialist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Ophthalmology
1008 N MAIN ST
BLOOMINGTON, IL 61701
Optometrist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Optometrist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Specialist
1008 N MAIN ST
BLOOMINGTON, IL 61701
Specialist
1008 N MAIN ST
BLOOMINGTON, IL 61701

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 Shawn Koehler's NPI number?

The NPI number for Shawn Koehler is 1336180876. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Shawn Koehler located?

Shawn Koehler practices at 1008 N Main St, Bloomington, IL 61701. The listed phone number is (309) 829-5311.

What is Shawn Koehler's specialty?

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

Is Shawn Koehler enrolled in Medicare?

Yes. Shawn Koehler 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 Shawn Koehler accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Shawn Koehler 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 Shawn Koehler was last updated on July 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.