DR. ERIC WEINBAUER O.D.
NPI 1477505741
Optometrist in Marion, IL

Q: What is Eric Weinbauer's NPI number?

The NPI number for Eric Weinbauer is 1477505741. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Eric Weinbauer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Weinbauer was last updated on October 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment

81.12/100

CMS Quality Rating

1200 W DEYOUNG ST, MARION, IL 62959(618) 993-5686(618) 997-6250 Get Directions Write a Review

NPPES record last updated: October 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Eric Weinbauer O.d. NPPES

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

DR. ERIC WEINBAUER O.D. (NPI 1477505741) is an individual optometrist in Marion, Illinois, licensed in Illinois (046-009745) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2004).

NPPES Registry Identity

NPI1477505741

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ERIC WEINBAUERCredential: O.D.

Location Address1200 W DEYOUNG STMarion, IL 62959-4437

Mailing Address1200 W Deyoung StMarion, IL 62959-4437 · (618) 993-5686 · Fax (618) 997-6250

Phone(618) 993-5686

Fax(618) 997-6250

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2004

Enumeration DateMay 16, 2006

Last NPPES UpdateOctober 6, 2008

✔ NPI 1477505741 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 · 046-009745

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.

1200 W DEYOUNG ST, Marion, IL 62959

Open in Google Maps ↗

Other Identifiers 10

Other0814870025IL · Medicare Nsc Number

Other107329Health Alliance

OtherIL9745Eyemed

Other0814870024IL · Medicare Nsc Number

Other310585Harmony Health Plan

Other0814870001IL · Medicare Nsc Number

Medicaid046009745IL

Medicare UPINV05456IL

Medicare PINK18441IL

OtherP00240014IL · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Eric Weinbauer 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 ID3173569613

PECOS Enrollment IDI20050706000463

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.

576 services500 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.

337 services306 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

303 services282 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.

212 services163 patients

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

62 services26 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.

57 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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.

81.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

20.4

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

99%150 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers14 claims14 services$53.30 avg. paid by Medicare

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers12 claims21 services$52.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. METH LINWONG M.D.

Ophthalmology