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DR. KEITH E. HOUGAS O.D.
NPI 1437274297
Optometrist in Elburn, IL

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
135 S MAIN ST UNIT 4, ELBURN, IL 60119(630) 365-5225(630) 365-5240 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Keith E. Hougas O.d. NPPES

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

DR. KEITH E. HOUGAS O.D. (NPI 1437274297) is an individual optometrist in Elburn, Illinois, licensed in Illinois (046009169) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1999).

NPPES Registry Identity

NPI1437274297
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KEITH E. HOUGASCredential: O.D.
Location Address135 S MAIN ST UNIT 4Elburn, IL 60119-9108
Mailing Address135 S Main St Unit 4Elburn, IL 60119-9108 · (630) 365-5225 · Fax (630) 365-5240
Phone(630) 365-5225
Fax(630) 365-5240
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1999
Enumeration DateMarch 20, 2007
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1437274297 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 · 046009169
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.
135 S MAIN ST UNIT 4, Elburn, IL 60119
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Other Identifiers 2

Medicare UPINU88737IL
Medicare PIN210935IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Keith E. Hougas 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 ID6305898578
PECOS Enrollment IDI20050217000140
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 Keith Hougas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyes On Elburn Ltd LLC
0.2 mi
Optometrist
135 S MAIN ST, UNIT 4
Elburn, IL 60119
  • Reassigned Medicare billing, Illinois enrollment
NPI 1073767950 (630) 365-5225
Grishma P. Patel, O.D. & Associates, P.C.
19 mi
Optometrist
1325 N MAIN ST
Wheaton, IL 60187
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1134453897 (630) 668-4144

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

Areas of Expertise CMS Part B claims 3

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 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.
80 services72 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.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60119 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 Keith Hougas's NPI number?

The NPI number for Keith Hougas is 1437274297. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Keith Hougas located?

Keith Hougas practices at 135 S Main St Unit 4, Elburn, IL 60119. The listed phone number is (630) 365-5225.

What is Keith Hougas's specialty?

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

Is Keith Hougas enrolled in Medicare?

Yes. Keith Hougas 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 Keith Hougas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Hougas reassigns Medicare benefits to 2 organizations: Eyes On Elburn Ltd LLC (Elburn, IL) and Grishma P. Patel, O.D. & Associates, P.C. (Wheaton, IL). 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 Keith Hougas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Hougas accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health Insurance and 6 other insurers list Keith Hougas 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 Keith Hougas was last updated on January 11, 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.