KATHLEEN M. SCARPULLA M.D.
NPI 1790886851
Ophthalmology in Chicago, IL

Q: What is Kathleen Scarpulla's NPI number?

The NPI number for Kathleen Scarpulla is 1790886851. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Kathleen Scarpulla's specialty?

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

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment

77.92/100

CMS Quality Rating

3115 N HARLEM AVE STE 300, CHICAGO, IL 60634(773) 283-2454(773) 283-2474 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2023, Jun 17, 2019 (2 updates tracked since 2019).

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About Kathleen M. Scarpulla M.d. NPPES

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

KATHLEEN M. SCARPULLA M.D. (NPI 1790886851) is an individual ophthalmology provider in Chicago, Illinois, licensed in Illinois (036-075323) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1985).

NPPES Registry Identity

NPI1790886851

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameKATHLEEN M. SCARPULLACredential: M.D.

Location Address3115 N HARLEM AVE STE 300Chicago, IL 60634-4683

Mailing Address3115 N Harlem Ave Ste 300Chicago, IL 60634-4683 · (773) 283-2454 · Fax (773) 283-2474

Phone(773) 283-2454

Fax(773) 283-2474

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1985

Enumeration DateSeptember 25, 2006

Last NPPES UpdateApril 3, 20232 updates tracked since enumeration

NPPES CertifiedApril 3, 2023

✔ NPI 1790886851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IL · 036-075323

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.

3115 N HARLEM AVE STE 300, Chicago, IL 60634

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Other Identifiers 1

Other036-075323IL · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen M. Scarpulla M.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 ID9133029333

PECOS Enrollment IDI20070808000327

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

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

Kirk Eye Center, Sc

3.4 mi

Ophthalmology

7427 LAKE ST
River Forest, IL 60305

Reassigned Medicare billing, Illinois enrollment
8 clinicians in this Medicare group

NPI 1568563955 (708) 771-3334

Carr Eye Professionals

19 mi

Optometrist

12306 S HARLEM AVE
Palos Heights, IL 60463

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1568811248 (708) 636-5115

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 24

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.

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

1,385 services522 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.

665 services486 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

378 services220 patients

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.

342 services190 patients

Insertion of drug delivery implant into tear duct of eye 68841

This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.

328 services183 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

304 services263 patients

Injection, bimatoprost, intracameral implant, 1 microgram J7351

This procedure involves placing a tiny implant inside the eye, which releases a drug called bimatoprost. This drug helps to lower high pressure in the eye, typically seen in conditions like glaucoma. It's a safe and effective treatment.

210 services11 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).

120 services117 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

107 services107 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.

86 services56 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

79 services62 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

78 services78 patients

Imaging of front third of eye using a special microscope 92286

This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.

66 services66 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.

57 services56 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

55 services55 patients

Removal of recurring cataract in lens capsule using a laser 66821

52 services39 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

47 services34 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.

43 services42 patients

Imaging of front third of eye 92132

Imaging of the front third of the eye, also known as anterior segment imaging, captures detailed images of the eye's front part. This includes the iris, cornea, and lens. It's a non-invasive procedure that helps diagnose and monitor eye conditions.

38 services37 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

29 services19 patients

Injection of medication into eye 66030

This procedure involves administering medication directly into your eye. A tiny needle is used to deliver the drug into the vitreous, a jelly-like substance in the eye. It helps treat conditions like macular degeneration or diabetic retinopathy. It's generally safe and effective.

21 services11 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

17 services12 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.

17 services17 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.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60634 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

77.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

26.41

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 Kathleen Scarpulla's NPI number?

The NPI number for Kathleen Scarpulla is 1790886851. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Kathleen Scarpulla located?

Kathleen Scarpulla practices at 3115 N Harlem Ave Ste 300, Chicago, IL 60634. The listed phone number is (773) 283-2454.

What is Kathleen Scarpulla's specialty?

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

Is Kathleen Scarpulla enrolled in Medicare?

Yes. Kathleen Scarpulla 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.

Which organizations bill Medicare for Kathleen Scarpulla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Scarpulla reassigns Medicare benefits to 2 organizations: Kirk Eye Center, Sc (River Forest, IL) and Carr Eye Professionals (Palos Heights, 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 Kathleen Scarpulla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Scarpulla was last updated on April 3, 2023. 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.