DR. NICHOLAS J RUTKOWSKI O.D.
NPI 1730491655
Optometrist in Bourbonnais, IL

Q: What is Nicholas Rutkowski's NPI number?

The NPI number for Nicholas Rutkowski is 1730491655. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Q: What is Nicholas Rutkowski's specialty?

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

Active since July 08, 2010PECOS EnrolledAccepts Medicare Assignment

870 N CONVENT ST, BOURBONNAIS, IL 60914(815) 217-9266(815) 301-3440 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2021, Feb 19, 2019 (2 updates tracked since 2019).

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About Dr. Nicholas J Rutkowski O.d. NPPES

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

DR. NICHOLAS J RUTKOWSKI O.D. (NPI 1730491655) is an individual optometrist in Bourbonnais, Illinois, licensed in Illinois (046.010357) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2010).

NPPES Registry Identity

NPI1730491655

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. NICHOLAS J RUTKOWSKICredential: O.D.

Location Address870 N CONVENT STBourbonnais, IL 60914-1300

Mailing Address870 N Convent StBourbonnais, IL 60914-1300 · (815) 217-9266 · Fax (815) 301-3440

Phone(815) 217-9266

Fax(815) 301-3440

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2010

Enumeration DateJuly 8, 2010

Last NPPES UpdateJune 30, 20212 updates tracked since enumeration

NPPES CertifiedJune 30, 2021

✔ NPI 1730491655 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 · 046.010357

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.

870 N CONVENT ST, Bourbonnais, IL 60914

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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. Nicholas J Rutkowski 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 ID8729269923

PECOS Enrollment IDI20210901003610

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 3

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.

1,618 services11 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.

20 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60914 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.

Other Providers at the Same Location NPPES 3

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

CHRISTIEN MARIA JACOB OD

Optometrist

870 N CONVENT ST
BOURBONNAIS, IL 60914

Kankakee County (815) 936-9497

ZHIMING TU OD

Optometrist

870 N CONVENT ST
BOURBONNAIS, IL 60914

Kankakee County (815) 217-9266

NICHOLAS RUTKOWSKI, O.D. & ASSOCIATES LLC

Optometrist

870 N CONVENT ST
BOURBONNAIS, IL 60914

Kankakee County (815) 217-9266

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 Nicholas Rutkowski's NPI number?

The NPI number for Nicholas Rutkowski is 1730491655. It was assigned to this individual provider in the NPPES registry on July 8, 2010.

Where is Nicholas Rutkowski located?

Nicholas Rutkowski practices at 870 N Convent St, Bourbonnais, IL 60914. The listed phone number is (815) 217-9266.

What is Nicholas Rutkowski's specialty?

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

Is Nicholas Rutkowski enrolled in Medicare?

Yes. Nicholas Rutkowski 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 Nicholas Rutkowski 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 2 other insurers list Nicholas Rutkowski 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 Nicholas Rutkowski was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.