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DR. IVETTA S DACCACHE O.D.
NPI 1790772143
Optometrist in Pekin, IL

Active since September 30, 2005PECOS Enrolled
81.66/100
CMS Quality Rating
725 S 14TH ST, PEKIN, IL 61554(309) 353-6660 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ivetta S Daccache O.d. NPPES

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

DR. IVETTA S DACCACHE O.D. (NPI 1790772143) is an individual optometrist in Pekin, Illinois, licensed in Illinois (046009676) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790772143
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. IVETTA S DACCACHECredential: O.D.
Location Address725 S 14TH STPekin, IL 61554-5073
Mailing Address725 S 14th StPekin, IL 61554-5073 · (309) 353-6660
Phone(309) 353-6660
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateMay 20, 2013
✔ NPI 1790772143 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 · 046009676
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.
725 S 14TH ST, Pekin, IL 61554
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Other Identifiers 5

Medicare PINK12680IL
Medicare NSC0295700010IL
Medicaid046009676IL
Other7215175IL · Bcbs
Medicare UPINU93396IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Dr. Ivetta S Daccache 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 Reassignments

2

Medicare enrollment records show Ivetta Daccache reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bond Eye Associates, Sc
Same address
Ophthalmology
725 S 14TH ST
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1285725903 (309) 353-6660
Provider Profile
49 mi
Optometrist
205 TENNEY ST
Kewanee, IL 61443
  • Reassigned Medicare billing, Illinois enrollment
NPI 1902993652 (309) 854-0010

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

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.

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.
39 services38 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.
21 services19 patients
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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61554 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.

81.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.6
Improvement Activities40
Cost43.38

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.

ROGER TODD ADLER MD
Ophthalmology
725 S 14TH ST
PEKIN, IL 61554
Tazewell County (309) 353-6660
WILLIAM IRVING BOND M.D.
Ophthalmology
725 S 14TH ST
PEKIN, IL 61554
Tazewell County (309) 353-6660
BOND EYE ASSOCIATES, SC
Ophthalmology
725 S 14TH ST
PEKIN, IL 61554
Tazewell County (309) 353-6660

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 Ivetta Daccache's NPI number?

The NPI number for Ivetta Daccache is 1790772143. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Ivetta Daccache located?

Ivetta Daccache practices at 725 S 14th St, Pekin, IL 61554. The listed phone number is (309) 353-6660.

What is Ivetta Daccache's specialty?

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

Is Ivetta Daccache enrolled in Medicare?

Yes. Ivetta Daccache is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ivetta Daccache's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivetta Daccache reassigns Medicare benefits to 2 organizations: Bond Eye Associates, Sc (Pekin, IL) and (Kewanee, IL). Each 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 Ivetta Daccache's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivetta Daccache accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Ivetta Daccache 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 Ivetta Daccache was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.