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KASEM KASEM O.D.
NPI 1710726237
Optometrist in Rockford, IL

Active since May 23, 2024PECOS Enrolled
5466 E STATE ST, ROCKFORD, IL 61108(815) 398-8703 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kasem Kasem O.d. NPPES

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

KASEM KASEM O.D. (NPI 1710726237) is an individual optometrist in Rockford, Illinois, licensed in Illinois (046.011854) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710726237
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKASEM KASEMCredential: O.D.
Location Address5466 E STATE STRockford, IL 61108-2380
Mailing Address3535 N Nora AveChicago, IL 60634-3618 · (872) 239-9220
Phone(815) 398-8703
Sole ProprietorNo
Enumeration DateMay 23, 2024
Last NPPES UpdateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1710726237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046.011854
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5466 E STATE ST, Rockford, IL 61108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Louisiana 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 (PECOS)

Kasem Kasem O.d. 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.

Medicare Billing Reassignment

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

Gulf Coast Optometry, PA
1,051 mi
Corneal and Contact Management
1725 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1083859409 (239) 800-1717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 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.

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 Kasem Kasem's NPI number?

The NPI number for Kasem Kasem is 1710726237. It was assigned to this individual provider in the NPPES registry on May 23, 2024.

Where is Kasem Kasem located?

Kasem Kasem practices at 5466 E State St, Rockford, IL 61108. The listed phone number is (815) 398-8703.

What is Kasem Kasem's specialty?

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

Is Kasem Kasem enrolled in Medicare?

Yes. Kasem Kasem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kasem Kasem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kasem Kasem reassigns Medicare benefits to Gulf Coast Optometry, PA (Tampa, FL). 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 Kasem Kasem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kasem Kasem accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 other insurers list Kasem Kasem 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 Kasem Kasem was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.