DR. RUJUTA GORE
NPI 1720546559
Ophthalmology in Peoria, IL

Active since March 11, 2019PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
4927 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 308-3500 Get Directions Write a Review

NPPES record last updated: October 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2022, Jul 25, 2022, Mar 11, 2019 (3 updates tracked since 2019).

About Dr. Rujuta Gore NPPES

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

DR. RUJUTA GORE (NPI 1720546559) is an individual ophthalmology provider in Peoria, Illinois, licensed in Illinois (036.161999) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1720546559
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. RUJUTA GORE
Location Address4927 N GLEN PARK PLACE RDPeoria, IL 61614-4676
Mailing Address4927 N Glen Park Place RdPeoria, IL 61614-4676 · (309) 308-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 11, 2019
Last NPPES UpdateOctober 1, 20223 updates tracked since enumeration
NPPES CertifiedOctober 1, 2022
NPI 1720546559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 036.161999
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License 036.161999 (IL)
4927 N GLEN PARK PLACE RD, Peoria, IL 61614

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. Rujuta Gore 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 ID3476939729
PECOS Enrollment IDI20221010003114
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 2

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.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
56 services43 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

Eyewear Supplier
4927 N GLEN PARK PLACE RD
PEORIA, IL 61614
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
4927 N GLEN PARK PLACE RD
PEORIA, IL 61614
Technician/Technologist (Ophthalmic)
4927 N GLEN PARK PLACE RD
PEORIA, IL 61614
Ophthalmology
4927 N GLEN PARK PLACE RD
PEORIA, IL 61614
Ophthalmology
4927 N GLEN PARK PLACE RD
PEORIA, IL 61614

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 Rujuta Gore's NPI number?

The NPI number for Rujuta Gore is 1720546559. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Rujuta Gore located?

Rujuta Gore practices at 4927 N Glen Park Place Rd, Peoria, IL 61614. The listed phone number is (309) 308-3500.

What is Rujuta Gore's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Rujuta Gore enrolled in Medicare?

Yes. Rujuta Gore 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.

Is Rujuta Gore affiliated with any hospitals?

According to CMS data, Rujuta Gore is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Rujuta Gore was last updated on October 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.