1. Home
  2. Directory
  3. Illinois
  4. Pittsfield
  5. Optometrist
  6. NPI Profile

TIMOTHY J LEAHY O.D.
NPI 1629027958
Optometrist in Pittsfield, IL

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
201 N MADISON ST, PITTSFIELD, IL 62363(217) 285-4800(217) 285-4850 Get Directions Write a Review

NPPES record last updated: February 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 21, 2018, Feb 16, 2018 (2 updates tracked since 2018).

About Timothy J Leahy O.d. NPPES

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

TIMOTHY J LEAHY O.D. (NPI 1629027958) is an individual optometrist in Pittsfield, Illinois, licensed in Illinois (046008656) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1993).

NPPES Registry Identity

NPI1629027958
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTIMOTHY J LEAHYCredential: O.D.
Location Address201 N MADISON STPittsfield, IL 62363-1447
Mailing Address201 N Madison StPittsfield, IL 62363-1447 · (217) 285-4800 · Fax (217) 285-4850
Phone(217) 285-4800
Fax(217) 285-4850
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1993
Enumeration DateMay 5, 2006
Last NPPES UpdateFebruary 21, 20182 updates tracked since enumeration
✔ NPI 1629027958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IL · 046008656✔ Licensed in MO · 2000146553
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.

201 N MADISON ST, Pittsfield, IL 62363
Open in Google Maps ↗

Other Identifiers 2

Medicaid1629027958IL
Medicaid1629027958MO

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 NH Healthy Families 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

Timothy J Leahy 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 ID8527193986
PECOS Enrollment IDI20100324000415
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 12

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.
4,819 services32 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.
551 services516 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.
509 services505 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.
308 services235 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
140 services31 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.
135 services131 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62363 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%152 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
91%47 patients4/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
80%1,024 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
51%1,024 patients3/55-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

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

INTERNATIONAL EYECARE CENTER, INC
Optometrist
201 N MADISON ST
PITTSFIELD, IL 62363
Pike County (217) 285-4800

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 Timothy Leahy's NPI number?

The NPI number for Timothy Leahy is 1629027958. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Timothy Leahy located?

Timothy Leahy practices at 201 N Madison St, Pittsfield, IL 62363. The listed phone number is (217) 285-4800.

What is Timothy Leahy's specialty?

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

Is Timothy Leahy enrolled in Medicare?

Yes. Timothy Leahy 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 Timothy Leahy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from NH Healthy Families and 10 other insurers list Timothy Leahy 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 Timothy Leahy was last updated on February 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.