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KELLY RAETHER O.D.
NPI 1356413223
Optometrist in Grayslake, IL

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1475 E BELVIDERE RD STE 1297, NORTHWESTERN OPHTHALMOLOGY DEPARTMENT, GRAYSLAKE, IL 60030(847) 295-0001 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Raether O.d. NPPES

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

KELLY RAETHER O.D. (NPI 1356413223) is an individual optometrist in Grayslake, Illinois, licensed in Illinois (046-009772) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2005).

NPPES Registry Identity

NPI1356413223
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKELLY RAETHERCredential: O.D.
Location Address1475 E BELVIDERE RD STE 1297, NORTHWESTERN OPHTHALMOLOGY DEPARTMENTGrayslake, IL 60030-2026
Mailing Address680 N Lake Shore Dr Ste 1000, Attn: Martha HolderChicago, IL 60611-8709 · (847) 295-0001
Phone(847) 295-0001
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2005
Enumeration DateNovember 15, 2006
Last NPPES UpdateNovember 17, 2015
✔ NPI 1356413223 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 · 046-009772
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.
1475 E BELVIDERE RD STE 1297, Grayslake, IL 60030
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Other Names 1

Former Name (1)Kelly Boucher O.d.

Other Identifiers 3

Medicare UPINV06656IL
Other1578798989Npi
Medicare PIN999570

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Kelly Raether 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 ID4486679776
PECOS Enrollment IDI20051005001097
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 8

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.

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.
137 services137 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.
85 services85 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.
78 services76 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).
40 services39 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.
26 services23 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60030 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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 Kelly Raether's NPI number?

The NPI number for Kelly Raether is 1356413223. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Kelly Boucher O.D..

Where is Kelly Raether located?

Kelly Raether practices at 1475 E Belvidere Rd Ste 1297 Northwestern Ophthalmology Department, Grayslake, IL 60030. The listed phone number is (847) 295-0001.

What is Kelly Raether's specialty?

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

Is Kelly Raether enrolled in Medicare?

Yes. Kelly Raether 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 Kelly Raether accept?

Health plans from Providence Health Plan list Kelly Raether 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 Kelly Raether was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.