DR. EDWARD G DOLEZAL MD
NPI 1821045782
Ophthalmology in Crystal Lake, IL

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
79.41/100
CMS Quality Rating
280 A MEMORIAL COURT, CRYSTAL LAKE, IL 60014(815) 455-4222(815) 455-5093 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Edward G Dolezal Md NPPES

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

DR. EDWARD G DOLEZAL MD (NPI 1821045782) is an individual ophthalmology provider in Crystal Lake, Illinois, licensed in Illinois (036070162) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois Medical College (1983).

NPPES Registry Identity

NPI1821045782
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. EDWARD G DOLEZALCredential: MD
Location Address280 A MEMORIAL COURTCrystal Lake, IL 60014-6233
Mailing Address280 A Memorial CourtCrystal Lake, IL 60014-6233 · (815) 455-4222 · Fax (815) 455-5093
Fax(815) 455-5093
Sole ProprietorYes
Medical School CMSIllinois Medical CollegeGraduated 1983
Enumeration DateMay 27, 2006
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
NPI 1821045782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in IL · 036070162 Licensed in IL · 036-070162
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.

280 A MEMORIAL COURT, Crystal Lake, IL 60014

Other Identifiers 3

Other180038854Rail Road Medicare
Other05625795IL · Bcbs Il
Medicaid036070162IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Edward G Dolezal Md 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 ID4789642026
PECOS Enrollment IDI20050104000486
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 21

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 office or other outpatient visit, 30-39 minutes 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.
666 services512 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
369 services286 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.
316 services295 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.
244 services241 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).
219 services219 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
150 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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.

79.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost31.39

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
86%71 patients1/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
1%194 patients
Diabetes: Eye Exam
100%207 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,570 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
88%326 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 578 patients
Patients screened: 97% · 578 patients
8%40 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%235 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,272 patients
Patients totalRate: 0% · 1,272 patients
0%1,272 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers22 claims22 services$58.81 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims23 services$53.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Edward Dolezal's NPI number?

The NPI number for Edward Dolezal is 1821045782. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Edward Dolezal located?

Edward Dolezal practices at 280 A Memorial Court, Crystal Lake, IL 60014. The listed phone number is (815) 455-4222.

What is Edward Dolezal's specialty?

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

Is Edward Dolezal enrolled in Medicare?

Yes. Edward Dolezal 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.

When was this NPI record last updated?

The NPPES record for Edward Dolezal was last updated on December 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.