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DR. JONATHAN D GOULART OD
NPI 1518065176
Optometrist in Freeport, IL

Active since September 20, 2006PECOS Enrolled
87.69/100
CMS Quality Rating
1000 KIWANIS DR, FREEPORT, IL 61032(815) 235-6177(815) 235-6180 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan D Goulart Od NPPES

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

DR. JONATHAN D GOULART OD (NPI 1518065176) is an individual optometrist in Freeport, Illinois and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1984).

NPPES Registry Identity

NPI1518065176
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JONATHAN D GOULARTCredential: OD
Location Address1000 KIWANIS DRFreeport, IL 61032-6921
Mailing Address1000 Kiwanis DrFreeport, IL 61032-6921 · (815) 235-6177 · Fax (815) 235-6180
Phone(815) 235-6177
Fax(815) 235-6180
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1984
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518065176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
1000 KIWANIS DR, Freeport, IL 61032
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Other Identifiers 2

Medicare UPINT38447IL
Medicare ID-Type UnspecifiedK14405IL

Accepted Insurance

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

Dr. Jonathan D Goulart Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618928805
PECOS Enrollment IDI20050207000298
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 2

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.
50 services50 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61032 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.

87.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.39
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

NORTHWEST EYECARE PC
Optometrist
1000 KIWANIS DR
FREEPORT, IL 61032
Stephenson County (815) 235-6177
MARIAH ANNE KATZENBERGER-HUNEKE OD
Optometrist
1000 KIWANIS DR
FREEPORT, IL 61032
Stephenson County (815) 235-6177
DR. NIKOLAS S DIEMER OD
Optometrist
1000 KIWANIS DR
FREEPORT, IL 61032
Stephenson County (815) 235-6177
DR. DENNIS J ROBINSON OD
Optometrist
1000 KIWANIS DR
FREEPORT, IL 61032
Stephenson County (815) 235-6177

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 Jonathan Goulart's NPI number?

The NPI number for Jonathan Goulart is 1518065176. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Jonathan Goulart located?

Jonathan Goulart practices at 1000 Kiwanis Dr, Freeport, IL 61032. The listed phone number is (815) 235-6177.

What is Jonathan Goulart's specialty?

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

Is Jonathan Goulart enrolled in Medicare?

Yes. Jonathan Goulart is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Goulart accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Jonathan Goulart 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 Jonathan Goulart was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.