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DR. DENNIS E DETTMANN O.D.
NPI 1609877455
Optometrist in Plainfield, IL

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
23.33/100
CMS Quality Rating
21219 SILKTREE CIR, PLAINFIELD, IL 60544(630) 257-6493(630) 243-6293 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2024, Sep 9, 2024, Jan 20, 2016 (3 updates tracked since 2016).

About Dr. Dennis E Dettmann O.d. NPPES

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

DR. DENNIS E DETTMANN O.D. (NPI 1609877455) is an individual optometrist in Plainfield, Illinois, licensed in Illinois (046007054) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1978).

NPPES Registry Identity

NPI1609877455
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DENNIS E DETTMANNCredential: O.D.
Location Address21219 SILKTREE CIRPlainfield, IL 60544-9359
Mailing Address21219 Silktree CirPlainfield, IL 60544-9359 · (630) 257-6493 · Fax (630) 243-6293
Phone(630) 257-6493
Fax(630) 243-6293
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1978
Enumeration DateAugust 2, 2005
Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1609877455 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 · 046007054
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.
21219 SILKTREE CIR, Plainfield, IL 60544
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Other Identifiers 1

Medicaid046007054IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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. Dennis E Dettmann 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 ID8224017587
PECOS Enrollment IDI20040812000233
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 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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
388 services166 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
263 services153 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60544 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.

23.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality26.66
Improvement Activities0

Other Providers at the Same Location NPPES

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

DENNIS DETTMANN, O.D. S.C.
Optometrist
21219 SILKTREE CIR
PLAINFIELD, IL 60544
Will County (630) 257-6493

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 Dennis Dettmann's NPI number?

The NPI number for Dennis Dettmann is 1609877455. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Dennis Dettmann located?

Dennis Dettmann practices at 21219 Silktree Cir, Plainfield, IL 60544. The listed phone number is (630) 257-6493.

What is Dennis Dettmann's specialty?

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

Is Dennis Dettmann enrolled in Medicare?

Yes. Dennis Dettmann 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.

What insurance does Dennis Dettmann accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Dennis Dettmann 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 Dennis Dettmann was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.