DR. TODD ARTHUR ROBERT O.D.
NPI 1538167168
Optometrist in Downers Grove, IL

Q: What is Todd Robert's NPI number?

The NPI number for Todd Robert is 1538167168. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Q: What is Todd Robert'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 Todd Robert was last updated on October 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.

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment

3800 HIGHLAND AVE, STE. 100, DOWNERS GROVE, IL 60515(630) 960-0456(630) 960-9521 Get Directions Write a Review

NPPES record last updated: October 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Todd Arthur Robert O.d. NPPES

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

DR. TODD ARTHUR ROBERT O.D. (NPI 1538167168) is an individual optometrist in Downers Grove, Illinois, licensed in Illinois (467829) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1538167168

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. TODD ARTHUR ROBERTCredential: O.D.

Location Address3800 HIGHLAND AVE, STE. 100Downers Grove, IL 60515-1557

Mailing Address3800 Highland Ave, Ste. 100Downers Grove, IL 60515-1557 · (630) 960-0456 · Fax (630) 960-9521

Phone(630) 960-0456

Fax(630) 960-9521

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateJuly 8, 2005

Last NPPES UpdateOctober 8, 2007

✔ NPI 1538167168 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 · 467829

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.

3800 HIGHLAND AVE, Downers Grove, IL 60515

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Other Identifiers 4

Other01626808IL · Bcbs

Other01626807IL · Bcbs For Westchester

Medicare UPINT35510IL

Medicare ID-Type UnspecifiedL72477IL

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. Todd Arthur Robert 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 ID3870653306

PECOS Enrollment IDI20110222000025

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 Reassignment

Medicare enrollment records show Todd Robert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Eye, P.C.

2.0 mi

Optometrist

2600 WARRENVILLE RD, SUITE 211
Downers Grove, IL 60515

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Midwest Eye PC
2 clinicians in this Medicare group

NPI 1790054609 (630) 560-4730

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 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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

3,296 services24 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

1,247 services12 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

364 services350 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.

344 services340 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.

85 services70 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.

75 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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.

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

100%26 patients5/55-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.

Other Providers at the Same Location NPPES 9

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

HARDESTY EYE CARE ASSOCIATES LLC

Optometrist

3800 HIGHLAND AVE, SUITE 100
DOWNERS GROVE, IL 60515

Dupage County (630) 960-0456

DR. LINDA S WEIL O.D.

Optometrist

3800 HIGHLAND AVE, STE. 100
DOWNERS GROVE, IL 60515

Dupage County (630) 960-0456

SARA BANUELOS D.D.S SC

Dentist

3800 HIGHLAND AVE, SUITE 108
DOWNERS GROVE, IL 60515

Dupage County (630) 241-0666

DR. LOUIS RAYMOND A JISON M.D., O.D.

Optometrist

3800 HIGHLAND AVE
DOWNERS GROVE, IL 60515

Dupage County (630) 960-0456

MIDWEST PLASTIC SURGERY INSTITUTE, INC.

Plastic Surgery

3800 HIGHLAND AVE, SUITE 106
DOWNERS GROVE, IL 60515

Dupage County (630) 960-0023

HAROLD JAIMES, M.D., S.C.

Internal Medicine

3800 HIGHLAND AVE, SUITE 111
DOWNERS GROVE, IL 60515

Dupage County (630) 719-4444

DOWNERS GROVE GERIATRICS LLC

Internal Medicine

3800 HIGHLAND AVE, SUITE 111
DOWNERS GROVE, IL 60515

Dupage County (630) 241-3779

MARGARET ANNE SUPPLE M.D.

Pediatrics

3800 HIGHLAND AVE, SUITE 104
DOWNERS GROVE, IL 60515

Dupage County (630) 969-8090

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 Todd Robert's NPI number?

The NPI number for Todd Robert is 1538167168. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Todd Robert located?

Todd Robert practices at 3800 Highland Ave Ste. 100, Downers Grove, IL 60515. The listed phone number is (630) 960-0456.

What is Todd Robert's specialty?

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

Is Todd Robert enrolled in Medicare?

Yes. Todd Robert 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 organization bills Medicare for Todd Robert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Robert reassigns Medicare benefits to Midwest Eye, P.C. (Downers Grove, IL). The 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 Todd Robert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Robert 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 and 7 other insurers list Todd Robert 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 Todd Robert was last updated on October 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.