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DR. ELISSA SUE HARVEY O.D.
NPI 1811285869
Optometrist in Salem, IL

Active since July 12, 2011PECOS EnrolledAccepts Medicare Assignment
82.6/100
CMS Quality Rating
400 N BROADWAY AVE, SALEM, IL 62881(618) 548-3506(618) 548-2555 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Feb 2, 2023 (2 updates tracked since 2023).

About Dr. Elissa Sue Harvey O.d. NPPES

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

DR. ELISSA SUE HARVEY O.D. (NPI 1811285869) is an individual optometrist in Salem, Illinois, licensed in Illinois (046-010446) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mount Vernon, and is a graduate of Southern College Of Optometry (2011).

NPPES Registry Identity

NPI1811285869
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ELISSA SUE HARVEYCredential: O.D.
Location Address400 N BROADWAY AVESalem, IL 62881-1514
Mailing Address400 N Broadway AveSalem, IL 62881-1514 · (618) 548-3506 · Fax (618) 548-2555
Phone(618) 548-3506
Fax(618) 548-2555
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2011
Enumeration DateJuly 12, 2011
Last NPPES UpdateJanuary 22, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
✔ NPI 1811285869 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 · 046-010446
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.
400 N BROADWAY AVE, Salem, IL 62881
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Other Names 1

Former Name (1)Dr. Elissa Sue Hefley O.d.

Secondary Practice Location 1

Location 14 Westwood DrMount Vernon, IL 62864-2212 · Phone (618) 242-7810 · Fax (618) 242-1867

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Elissa Sue Harvey 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 ID8729256383
PECOS Enrollment IDI20110726000421
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 11

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 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.
3,954 services37 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.
2,612 services19 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.
269 services187 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.
171 services171 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.
127 services114 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).
82 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62881 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.

82.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.21
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
32%109 patients2/55-star benchmark: 87%
Diabetes: Eye Exam
99%204 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
33%30 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
87%1,688 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
81%42 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%494 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

ELIZABETH WOLFF O.D.
Optometrist
400 N BROADWAY AVE
SALEM, IL 62881
Marion County (618) 548-3506

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 Elissa Harvey's NPI number?

The NPI number for Elissa Harvey is 1811285869. It was assigned to this individual provider in the NPPES registry on July 12, 2011. The provider is also known as Dr. Elissa Sue Hefley O.D..

Where is Elissa Harvey located?

Elissa Harvey practices at 400 N Broadway Ave, Salem, IL 62881. The listed phone number is (618) 548-3506.

What is Elissa Harvey's specialty?

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

Is Elissa Harvey enrolled in Medicare?

Yes. Elissa Harvey 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 Elissa Harvey accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Elissa Harvey 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 Elissa Harvey was last updated on January 22, 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.