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Active NPI 1417111790 Individual Practitioner Male Practitioner

Dr. Michael George Kennedy , OD

Optometrist • Elgin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kennedy, OD is a certified Optometrist practicing in Elgin, IL. With approximately 18 years of clinical experience since graduating from Ohio State University - College Of Optometry in 2008, Dr. Kennedy delivers high-quality medical care to the local community at 363 S RANDALL RD.

Dr. Kennedy is affiliated with Christina J. Levi O D P C. and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

363 S Randall Rd

Elgin, IL 601235526

Telephone 8478881555
Associated Practice Facility / Clinic
🏢 Susan M Penner Facility NPI 1508088683

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Elgin, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +0.6 yrs vs City Avg
City Avg: 17.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Elgin, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kennedy (18 Years) 18 Yrs
Elgin Specialty Average (17.4 Years) 17.4 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
116 116 $165.00 $128.15
92250 Photography of the retina
41 41 $130.00 $37.32
99213 Established patient office or other outpatient visit, typically 15 minutes
39 28 $120.00 $93.54
92083 Exam of visual field with extended testing
23 16 $120.00 $64.93
92134 Imaging of retina
20 16 $100.00 $40.97
92133 Imaging of optic nerve
17 17 $100.00 $35.00
92004 New patient complete exam of visual system
13 13 $195.00 $151.80

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046010127

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

Commercial Insurance / Payer ID Tax Id
36-3546473 (IL)
Commercial Insurance / Payer ID Group Npi For Bcbs
1508088683 (IL)
Commercial Insurance / Payer ID Bcbs
4515286 (IL)
Commercial Insurance / Payer ID Other Npi
1891842464 (IL)

Hospital & Practice Group Affiliations

Christina J. Levi O D P C.

165 S Randall Rd, Elgin, IL 601235551

Phone: 8478881555

Christina J. Levi O D P C.

2100 Troy Rd, Edwardsville, IL 620252595

Phone: 6186568888

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1609924745

Doctor of Optometry

NPI 1992996383

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2012

Registered at 363 S RANDALL RD, ELGIN, IL 601235526 (Tel: 8478881555)

📍
Updated Business Mailing Address September 10, 2012

Registered at 363 S RANDALL RD, ELGIN, IL 601235526 (Tel: 8478881555)

👤
Provider Name / Credentials Updated September 10, 2012

Recorded as MICHAEL KENNEDY, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2012

Optometrist (License #046010127 in IL)

🟢
Initial NPI Registration & Enumeration July 15, 2008

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: 1417111790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2008
Last Update: September 10, 2012
Sole Proprietor: No

Mailing Address

363 S Randall Rd

Elgin, IL 601235526

Phone: 8478881555

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.