Individual provider Active NPI

Eric J Quartetti, M.D.

  • Ophthalmology Physician
  • St. Charles, IL
National Provider Identifier
1104985159
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Practice address
40W330 Lafox Road
St. Charles, IL 60175
Phone
(630) 584-9850
Fax
(630) 584-1523
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X IL Primary

Addresses

Primary practice location

40W330 Lafox Road
St. Charles, IL 60175

Mailing address

40W330 Lafox Road
St. Charles, IL 60175
Phone (630) 584-9850

Other identifiers 2

IdentifierTypeStateIssuer
4519570OtherILBCBS
1124844OtherILUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040214000042 IL Practitioner - Ophthalmology 5193619641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley OphthalmologyGroup PAC ID 6103710652, 7 clinicians

Practice addresses (Care Compare)

40 W330 Lafox Rd
Unit a
Saint Charles, IL 60175-6515
Phone (630) 584-9850

750 Fletcher Dr
Suite 106
Elgin, IL 60123-4703
Phone (847) 695-0499

Merit-based Incentive Payment System (MIPS)

Final score
90.18 of 100Reported as group
Quality
97.93
Improvement activities
40
Cost
70.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036084524ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Ophthalmology Ophthalmology CurrentSince Jun 1, 1988 Accepting new patients
Fox Valley Ophthalmology Ophthalmology Past Accepting new patients

Locations

87 N Airlite St
Ste 240
Elgin, IL 60123
Phone (847) 695-0499

750 Fletcher Dr
Ste 106
Elgin, IL 60123
Phone (847) 695-0499

40W330 Lafox Rd
Unit A
St Charles, IL 60175
Phone (630) 584-9850

40W330 Lafox Rd
St Charles, IL 60175
Phone (630) 584-9850

Interoperability endpoints

  • Direct secure messaging: ejq@fvo.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104985159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W330 LAFOX ROAD",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-584-9850",
            "fax_number": "630-584-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W330 LAFOX ROAD",
            "city": "ST. CHARLES",
            "state": "IL",
            "postal_code": "60175",
            "telephone_number": "630-584-9850",
            "fax_number": "630-584-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTETTI",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4519570",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1124844",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Charles, IL

Sources for this page

Verify at the official NPI Registry.