Nicholas Joseph Podpeskar, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011327 Issued in IL

Practice address

216 NW 1St St
Galva, IL 61434-1302

Phone

(309) 932-3615

Fax

(309) 932-2023

NPI assigned

Aug 2, 2019

Last updated

Aug 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kehoe Eye Care PCGroup PAC ID 4789606880, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.17 of 100Reported as group

Quality

98.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Kehoe Eye Care PC

  • Optometrist
  • Galesburg, IL
  • NPI 1235104035
  Medicare reassignment Care Compare group NPD
• Tri County Eye Care PC

  • Optometrist
  • Galva, IL
  • NPI 1669570933
  NPD

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1679128177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NW 1ST ST",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "614341302",
            "telephone_number": "309-932-3615",
            "fax_number": "309-932-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NW 1ST ST",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "614341302",
            "telephone_number": "309-932-3615",
            "fax_number": "309-932-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODPESKAR",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Morland
• Claudia Neuhalfen, DDS
• Option 1 Nutrition Solutions LLC (Aveanna Healthcare Medical Solutions - IL)
• Osf Healthcare System (OSF Medical Group - Galva)
• Petersen Health Systems, Inc. (Courtyard Estates of Galva)
• William David Pool, OD
• Regional Family Health Center
• Regional Family Health Center
• Regional Health Partners LLC
• Wayne F. Skaloud, D.D.S.

• Optometrist in Galva, IL
• Providers in Galva, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.