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DR. PETER JOHN POPOVICH O.D.
NPI 1649629072
Optometrist in Dixon, IL

Active since June 07, 2016PECOS EnrolledAccepts Medicare Assignment
82.13/100
CMS Quality Rating
511 PALMYRA ST, DIXON, IL 61021(815) 284-2020(815) 284-8326 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter John Popovich O.d. NPPES

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

DR. PETER JOHN POPOVICH O.D. (NPI 1649629072) is an individual optometrist in Dixon, Illinois, licensed in Illinois (046010978) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of Indiana University - School Of Optometry (2016).

NPPES Registry Identity

NPI1649629072
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PETER JOHN POPOVICHCredential: O.D.
Location Address511 PALMYRA STDixon, IL 61021-1953
Mailing Address511 Palmyra StDixon, IL 61021-1953 · (815) 284-2020 · Fax (815) 284-8326
Phone(815) 284-2020
Fax(815) 284-8326
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2016
Enumeration DateJune 7, 2016
Last NPPES UpdateOctober 8, 2019
✔ NPI 1649629072 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 · 046010978
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.
511 PALMYRA ST, Dixon, IL 61021
Open in Google Maps ↗

Other Identifiers 2

Medicaid046010978IL
OtherF400568269IL · Medicare Ptan

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 and accepts Medicare assignment

Dr. Peter John Popovich 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 ID4183919350
PECOS Enrollment IDI20160826001358
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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
261 services234 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.
214 services214 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.
170 services135 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).
103 services76 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.
59 services48 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.
59 services45 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61021 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.

82.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.8
Promoting Interoperability98
Improvement Activities40
Cost66.07

Other Providers at the Same Location NPPES 5

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

KSB MEDICAL GROUP, INC.
Eyewear Supplier
511 PALMYRA ST
DIXON, IL 61021
Lee County (815) 284-2020
KSB MEDICAL GROUP, INC.
Eyewear Supplier
511 PALMYRA ST
DIXON, IL 61021
Lee County (815) 284-2020
OSF HEALTHCARE SYSTEM
Eyewear Supplier
511 PALMYRA ST
DIXON, IL 61021
Lee County (815) 284-2020
DR. EMILY S RICHARDSON O.D.
Optometrist
511 PALMYRA ST
DIXON, IL 61021
Lee County (815) 284-2020
DIXON OPTOMETRIC CENTER, INC.
Clinic/Center
511 PALMYRA ST
DIXON, IL 61021
Lee County (815) 284-2020

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 Peter Popovich's NPI number?

The NPI number for Peter Popovich is 1649629072. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Peter Popovich located?

Peter Popovich practices at 511 Palmyra St, Dixon, IL 61021. The listed phone number is (815) 284-2020.

What is Peter Popovich's specialty?

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

Is Peter Popovich enrolled in Medicare?

Yes. Peter Popovich 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 Peter Popovich 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 Peter Popovich 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.

Is Peter Popovich affiliated with any hospitals?

According to CMS data, Peter Popovich is affiliated with Katherine Shaw Bethea Hospital.

When was this NPI record last updated?

The NPPES record for Peter Popovich was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.