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SCOTT M SAWYER OD
NPI 1942263355
Optometrist in Hillsboro, IL

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
89.93/100
CMS Quality Rating
675 SCHOOL ST, HILLSBORO, IL 62049(217) 532-5044(217) 532-2109 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott M Sawyer Od NPPES

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

SCOTT M SAWYER OD (NPI 1942263355) is an individual optometrist in Hillsboro, Illinois, licensed in Illinois (046008320) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1990).

NPPES Registry Identity

NPI1942263355
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSCOTT M SAWYERCredential: OD
Location Address675 SCHOOL STHillsboro, IL 62049-1530
Mailing Address675 School StHillsboro, IL 62049-1530 · (217) 532-5044 · Fax (217) 532-2109
Phone(217) 532-5044
Fax(217) 532-2109
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1990
Enumeration DateApril 7, 2006
Last NPPES UpdateJuly 28, 2010
✔ NPI 1942263355 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 · 046008320
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.
675 SCHOOL ST, Hillsboro, IL 62049
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINU02310
Medicaid046008320IL
Medicare ID-Type Unspecified930150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Scott M Sawyer Od 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 ID6103825864
PECOS Enrollment IDI20070517000597
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 9

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.
3,415 services25 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.
387 services286 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.
135 services135 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.
68 services52 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.
62 services62 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).
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62049 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

89.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.86
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
82%125 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
99%180 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
91%98 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
35%2,117 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
93%96 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%948 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
2 suppliers18 claims18 services$55.63 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers13 claims22 services$36.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DOUGLAS W JOHNSON OD
Optometrist
675 SCHOOL ST
HILLSBORO, IL 62049
Montgomery County (217) 532-5044
DR. NATHAN KIRBY OD
Optometrist
675 SCHOOL ST
HILLSBORO, IL 62049
Montgomery County (217) 532-5044
ERIC JOHNSON OD
Optometrist
675 SCHOOL ST
HILLSBORO, IL 62049
Montgomery County (217) 532-5044
FAMILY EYE CARE ASSOCIATION, P.C.
Optometrist
675 SCHOOL ST
HILLSBORO, IL 62049
Montgomery County (217) 532-5044

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 Scott Sawyer's NPI number?

The NPI number for Scott Sawyer is 1942263355. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Scott Sawyer located?

Scott Sawyer practices at 675 School St, Hillsboro, IL 62049. The listed phone number is (217) 532-5044.

What is Scott Sawyer's specialty?

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

Is Scott Sawyer enrolled in Medicare?

Yes. Scott Sawyer 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 Scott Sawyer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Scott Sawyer 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 Scott Sawyer was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.