DR. ANNA MICHELLE EDMISTON M.D.
NPI 1386055762
Ophthalmology in Lake Villa, IL

Active since May 19, 2014PECOS EnrolledAccepts Medicare Assignment
300 N MILWAUKEE AVE STE L, LAKE VILLA, IL 60046(847) 356-0700 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2018, Jan 8, 2017 (2 updates tracked since 2017).

About Dr. Anna Michelle Edmiston M.d. NPPES

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

DR. ANNA MICHELLE EDMISTON M.D. (NPI 1386055762) is an individual ophthalmology provider in Lake Villa, Illinois, licensed in Illinois (036.146283) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of Alabama School Of Medicine (2014).

NPPES Registry Identity

NPI1386055762
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. ANNA MICHELLE EDMISTONCredential: M.D.
Location Address300 N MILWAUKEE AVE STE LLake Villa, IL 60046
Mailing Address300 N Milwaukee Ave Ste LLake Villa, IL 60046-8563 · (847) 356-0700
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2014
Enumeration DateMay 19, 2014
Last NPPES UpdateJuly 25, 20182 updates tracked since enumeration
✔ NPI 1386055762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 036.146283
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
300 N MILWAUKEE AVE STE L, Lake Villa, IL 60046

Secondary Practice Location 1

Location 11675 Aurora Ct, F731Aurora, CO 80045-2517 · Phone (720) 848-5029 · Fax (720) 848-4043

Other Identifiers 1

Other036.146283IL · Illinois License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anna Michelle Edmiston M.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 ID9739484593
PECOS Enrollment IDI20251224002626
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 Reassignments

2

Medicare enrollment records show Anna Edmiston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
7101 NW EXPRESSWAY STE 335
Oklahoma City, OK 73132
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group
Ophthalmology
5280 TOWNE SQUARE DR
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group

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 60046 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.

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 Anna Edmiston's NPI number?

The NPI number for Anna Edmiston is 1386055762. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Anna Edmiston located?

Anna Edmiston practices at 300 N Milwaukee Ave Ste L, Lake Villa, IL 60046. The listed phone number is (847) 356-0700.

What is Anna Edmiston's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Anna Edmiston enrolled in Medicare?

Yes. Anna Edmiston 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.

Which organizations bill Medicare for Anna Edmiston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Edmiston reassigns Medicare benefits to 2 organizations: Rlr Vision PLLC (Oklahoma City, OK) and Plano Vision PLLC (Plano, TX). Each 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 Anna Edmiston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Edmiston accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Anna Edmiston 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 Anna Edmiston was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.