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MS. VIVIAN M KLOKE OD
NPI 1346358645
Optometrist in O Fallon, IL

Active since August 27, 2006PECOS EnrolledAccepts Medicare Assignment
83.79/100
CMS Quality Rating
735 INSIGHT AVE, O FALLON, IL 62269(618) 628-2903(618) 628-2913 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Vivian M Kloke Od NPPES

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

MS. VIVIAN M KLOKE OD (NPI 1346358645) is an individual optometrist in O Fallon, Illinois, licensed in Illinois (046008375) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (1990).

NPPES Registry Identity

NPI1346358645
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMS. VIVIAN M KLOKECredential: OD
Location Address735 INSIGHT AVEO Fallon, IL 62269-2193
Mailing Address735 Insight AveO Fallon, IL 62269-2193 · (618) 628-2903 · Fax (618) 628-2913
Phone(618) 628-2903
Fax(618) 628-2913
Sole ProprietorYes
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 1990
Enumeration DateAugust 27, 2006
Last NPPES UpdateDecember 12, 2019
✔ NPI 1346358645 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 · 046008375
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.
735 INSIGHT AVE, O Fallon, IL 62269
Open in Google Maps ↗

Other Identifiers 6

Other259903IL · Healthlink
Other1801926340IL · Tin For Office
Other400662Group Health Plan
Medicaid046008375IL
Other08206037IL · Bcbs
Other2202035United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Ms. Vivian M Kloke Od 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 ID8123118775
PECOS Enrollment IDI20110106000954
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 9

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.

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.
403 services394 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.
348 services337 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.
143 services129 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).
81 services73 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.
80 services64 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.
77 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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.

83.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.59
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
56%104 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
99%156 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
5%42 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
83%1,393 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
84%91 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%649 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.

Other Providers at the Same Location NPPES 5

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

MISS JESSICA L. WEIS OD
Optometrist (Corneal and Contact Management)
735 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 628-2903
DR. DAVID D ERNST O.D.
Optometrist
735 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 628-2903
MRS. KELLI E CADION CRAGO OD
Optometrist
735 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 628-2903
HOLLY REGEL OD
Optometrist
735 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 628-2903
FAMILY EYE CARE OF OFALLON PC
Optometrist
735 INSIGHT AVE
O FALLON, IL 62269
St. Clair County (618) 628-2903

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 Vivian Kloke's NPI number?

The NPI number for Vivian Kloke is 1346358645. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Vivian Kloke located?

Vivian Kloke practices at 735 Insight Ave, O Fallon, IL 62269. The listed phone number is (618) 628-2903.

What is Vivian Kloke's specialty?

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

Is Vivian Kloke enrolled in Medicare?

Yes. Vivian Kloke 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 Vivian Kloke 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, Providence Health Plan and UnitedHealthcare list Vivian Kloke 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 Vivian Kloke was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.