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DALE J SWETLISHNOFF OD
NPI 1649233057
Optometrist in Benld, IL

Active since April 07, 2006PECOS Enrolled
600 S 8TH ST, BENLD, IL 62009(217) 835-7724(217) 835-7611 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dale J Swetlishnoff Od NPPES

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

DALE J SWETLISHNOFF OD (NPI 1649233057) is an individual optometrist in Benld, Illinois, licensed in Illinois (046008093) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649233057
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDALE J SWETLISHNOFFCredential: OD
Location Address600 S 8TH STBenld, IL 62009-1446
Mailing Address600 S 8th StBenld, IL 62009-1446 · (217) 835-7724 · Fax (217) 835-7611
Phone(217) 835-7724
Fax(217) 835-7611
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateDecember 24, 2024
NPPES CertifiedDecember 24, 2024
✔ NPI 1649233057 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 · 046008093
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.
600 S 8TH ST, Benld, IL 62009
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Other Identifiers 1

Medicaid046008093IL

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)

Dale J Swetlishnoff Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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 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.
77 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services75 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.
74 services72 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.
51 services48 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
48 services40 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.
46 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62009 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%128 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 2

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

FIRESIDE EYE CARE, P.C.
Optometrist
600 S 8TH ST
BENLD, IL 62009
Macoupin County (217) 835-7724
DR. SHAWNA L HEDDINGHAUS OD
Optometrist
600 S 8TH ST
BENLD, IL 62009
Macoupin County (217) 835-7724

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 Dale Swetlishnoff's NPI number?

The NPI number for Dale Swetlishnoff is 1649233057. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Dale Swetlishnoff located?

Dale Swetlishnoff practices at 600 S 8th St, Benld, IL 62009. The listed phone number is (217) 835-7724.

What is Dale Swetlishnoff's specialty?

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

Is Dale Swetlishnoff enrolled in Medicare?

Yes. Dale Swetlishnoff is registered in the Medicare PECOS enrollment system.

What insurance does Dale Swetlishnoff 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 1 other insurer list Dale Swetlishnoff 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 Dale Swetlishnoff was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.