Active NPI 1558394569 Individual Practitioner Male Practitioner

Dr. Edward J Heinisch , OD

Optometrist • Aurora, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edward Heinisch, OD is a certified Optometrist practicing in Aurora, IL. With approximately 41 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1985, Dr. Heinisch delivers high-quality medical care to the local community at 1221 N HIGHLAND AVE.

Dr. Heinisch is affiliated with Advocate Health And Hospitals Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1221 N Highland Ave

Aurora, IL 605061404

Telephone 6308598700

Associated Practice Facility / Clinic

🏢 Dreyer Ambulatory Surgery Center, Llc Facility NPI 1396896684

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Aurora, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +20.7 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

18 Specialists

Practicing in Aurora, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heinisch (41 Years) 41 Yrs

Aurora Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	332	331	$254.00	$127.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	60	$279.00	$131.05
99213 Established patient office or other outpatient visit, typically 15 minutes	92	74	$198.00	$92.52
92004 New patient complete exam of visual system	85	85	$301.00	$151.48
92134 Imaging of retina	71	69	$131.00	$41.01
92133 Imaging of optic nerve	66	65	$131.00	$37.23
92083 Exam of visual field with extended testing	53	51	$201.00	$64.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$249.00	$115.50
76514 Ultrasound scan of cornea to determine thickness	12	12	$74.00	$11.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	315	312	$209.00	$129.05
99213 Established patient office or other outpatient visit, typically 15 minutes	92	73	$178.00	$93.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	47	$259.00	$129.44
92004 New patient complete exam of visual system	79	79	$279.00	$152.35
92133 Imaging of optic nerve	68	68	$131.00	$37.66
92083 Exam of visual field with extended testing	48	46	$201.00	$64.01
92134 Imaging of retina	47	46	$131.00	$41.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	14	$118.00	$59.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$237.00	$110.11
76514 Ultrasound scan of cornea to determine thickness	14	14	$74.00	$11.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	304	302	$209.00	$133.06
99213 Established patient office or other outpatient visit, typically 15 minutes	117	94	$161.00	$94.70
92004 New patient complete exam of visual system	83	83	$279.00	$157.63
92133 Imaging of optic nerve	46	46	$131.00	$38.14
92134 Imaging of retina	31	31	$131.00	$42.77
92083 Exam of visual field with extended testing	26	24	$201.00	$66.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$235.00	$134.21
92012 Established patient problem focused exam of visual system	16	16	$150.00	$90.23
76514 Ultrasound scan of cornea to determine thickness	14	14	$74.00	$11.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	243	243	$209.00	$133.91
92004 New patient complete exam of visual system	131	131	$279.00	$158.28
99213 Established patient office or other outpatient visit, typically 15 minutes	101	74	$153.00	$97.20
92133 Imaging of optic nerve	50	50	$131.00	$39.55
92012 Established patient problem focused exam of visual system	42	42	$150.00	$95.54
92134 Imaging of retina	29	28	$131.00	$43.41
92083 Exam of visual field with extended testing	29	29	$201.00	$65.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$107.00	$59.81
92002 New patient problem focused exam of visual system	11	11	$161.00	$85.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	256	256	$209.00	$132.61
92004 New patient complete exam of visual system	93	93	$279.00	$156.90
99213 Established patient office or other outpatient visit, typically 15 minutes	67	49	$146.00	$79.97
92133 Imaging of optic nerve	47	47	$131.00	$39.62
92012 Established patient problem focused exam of visual system	30	30	$150.00	$93.83
92083 Exam of visual field with extended testing	29	28	$201.00	$67.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$102.00	$48.75
92134 Imaging of retina	19	19	$131.00	$42.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	214	214	$209.00	$132.58
99213 Established patient office or other outpatient visit, typically 15 minutes	138	105	$146.00	$78.61
92012 Established patient problem focused exam of visual system	91	91	$150.00	$93.35
92004 New patient complete exam of visual system	84	84	$279.00	$159.09
92133 Imaging of optic nerve	53	53	$131.00	$39.38
92083 Exam of visual field with extended testing	32	28	$201.00	$67.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	25	$102.00	$47.83
92002 New patient problem focused exam of visual system	26	26	$161.00	$85.16
92134 Imaging of retina	25	25	$131.00	$43.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	215	214	$105.59	$87.43
92014 Established patient complete exam of visual system	121	121	$181.87	$131.51
99213 Established patient office or other outpatient visit, typically 15 minutes	100	78	$142.04	$76.73
92133 Imaging of optic nerve	63	62	$131.00	$39.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	48	$86.43	$46.44
92004 New patient complete exam of visual system	57	57	$244.00	$158.04
92002 New patient problem focused exam of visual system	54	54	$107.33	$87.23
92083 Exam of visual field with extended testing	39	33	$201.00	$67.60
92134 Imaging of retina	33	32	$131.00	$43.64
76514 Ultrasound scan of cornea to determine thickness	23	23	$53.91	$15.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	279	279	$88.00	$86.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	62	$83.00	$45.91
92014 Established patient complete exam of visual system	73	73	$142.00	$129.40
92083 Exam of visual field with extended testing	66	47	$201.00	$67.48
92002 New patient problem focused exam of visual system	60	60	$98.00	$84.65
99213 Established patient office or other outpatient visit, typically 15 minutes	55	46	$124.00	$76.89
92133 Imaging of optic nerve	48	48	$131.00	$39.18
92004 New patient complete exam of visual system	30	30	$184.00	$155.48
92134 Imaging of retina	18	17	$131.00	$42.23
76514 Ultrasound scan of cornea to determine thickness	17	17	$41.00	$15.14

Medical Specialties & State Licenses

CMS Verified: 2021-11-23

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046-007861

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

046007861 (IL)

Hospital & Practice Group Affiliations

Advocate Health And Hospitals Corporation

1221 N Highland Ave, Aurora, IL 605061404

Phone: 6308596800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Nancy Whereatt , MD

Surgery

NPI 1003829169

Doctor of Medicine (M.D.)

Rachel Bullar , PT

Physical Therapist

NPI 1023095650

Physical Therapist

Dr. Sandy Kwak , MD

Radiology - Diagnostic Radiology

NPI 1033148291

Doctor of Medicine (M.D.)

Dr. Ravi Prakash , MD

Internal Medicine - Gastroenterology

NPI 1053575399

Doctor of Medicine (M.D.)

Dr. Linda Hardie , AuD

Audiologist

NPI 1073618013

Doctor of Audiology

Manjusha Potdukhe , PT

Physical Therapist

NPI 1083882393

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active February 20, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 20, 2017

Registered at 2357 SEQUOIA DR, AURORA, IL 605066222 (Tel: 6308596800)

📍

Updated Practice Location February 20, 2017

Registered at 1221 N HIGHLAND AVE, AURORA, IL 605061404 (Tel: 6308598700)

👤

Provider Name / Credentials Updated February 20, 2017

Recorded as EDWARD HEINISCH, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2017

Optometrist (License #046-007861 in IL)

✅

NPI Profile Active May 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 17, 2011

Registered at 1221 N HIGHLAND AVE, AURORA, IL 605061404 (Tel: 6308598700)

📍

Updated Business Mailing Address May 17, 2011

Registered at 1221 N HIGHLAND AVE, AURORA, IL 605061404 (Tel: 6308598700)

👤

Provider Name / Credentials Updated May 17, 2011

Recorded as EDWARD HEINISCH, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2011

Optometrist (License #046-007861 in IL)

🟢

Initial NPI Registration & Enumeration July 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558394569

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 10, 2006

Last Update: November 23, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2357 Sequoia Dr

Aurora, IL 605066222

Phone: 6308596800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.