Active NPI 1356413223 Individual Practitioner Female Practitioner

Dr. Kelly Raether , OD

Optometrist • Grayslake, IL

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Raether, OD is a registered Optometrist practitioner in Grayslake, IL. With approximately 21 years of clinical practice since graduating from Illinois College Of Optometry At Chicago in 2005, Dr. Raether provides healthcare services at the registered practice location at 1475 E BELVIDERE RD STE 1297.

Dr. Raether is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1475 E Belvidere Rd Ste 1297
Northwestern Ophthalmology Department

Grayslake, IL 600302026

Telephone 8472950001

Associated Practice Facility / Clinic

🏢 Envision Eye Center Ltd Facility NPI 1205083383

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Grayslake, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -10.3 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Grayslake, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raether (21 Years) 21 Yrs

Grayslake Specialty Average (31.3 Years) 31.3 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
92004 New patient complete exam of visual system	137	137	$459.00	$154.77
92014 Established patient complete exam of visual system	85	85	$381.00	$131.89
92134 Imaging of retina	78	76	$266.00	$42.08
92133 Imaging of optic nerve	40	39	$266.00	$37.80
92083 Exam of visual field with extended testing	26	23	$282.00	$66.49
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$219.00	$96.03
92002 New patient problem focused exam of visual system	16	16	$250.00	$89.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$505.00	$176.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	78	78	$459.00	$153.87
92014 Established patient complete exam of visual system	65	65	$381.00	$131.02
92134 Imaging of retina	59	58	$266.00	$41.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$505.00	$173.87
92133 Imaging of optic nerve	29	28	$266.00	$38.03
92002 New patient problem focused exam of visual system	20	20	$250.00	$89.88
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$219.00	$90.08
92083 Exam of visual field with extended testing	12	12	$282.00	$66.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	66	65	$381.00	$134.70
92004 New patient complete exam of visual system	53	53	$459.00	$158.94
92134 Imaging of retina	39	38	$266.00	$43.03
92002 New patient problem focused exam of visual system	33	33	$250.00	$92.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$505.00	$179.45
92133 Imaging of optic nerve	16	16	$266.00	$38.81
92012 Established patient problem focused exam of visual system	15	15	$263.00	$95.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	65	65	$381.00	$135.26
92012 Established patient problem focused exam of visual system	54	54	$263.00	$96.17
92134 Imaging of retina	48	46	$266.00	$43.68
92004 New patient complete exam of visual system	32	32	$459.00	$160.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$323.00	$138.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$505.00	$180.17
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$219.00	$97.92
92133 Imaging of optic nerve	12	11	$266.00	$39.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	44	43	$263.00	$93.11
92014 Established patient complete exam of visual system	43	41	$381.00	$135.11
92004 New patient complete exam of visual system	28	28	$459.00	$156.21
92134 Imaging of retina	26	24	$266.00	$43.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$505.00	$168.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$132.00	$49.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$323.00	$112.07
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$219.00	$80.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	75	75	$263.00	$93.66
92014 Established patient complete exam of visual system	66	63	$381.00	$134.21
92004 New patient complete exam of visual system	64	64	$459.00	$157.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$132.00	$48.11
92134 Imaging of retina	27	27	$266.00	$43.39
92133 Imaging of optic nerve	19	19	$266.00	$39.37
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$219.00	$78.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	70	68	$263.00	$89.19
92004 New patient complete exam of visual system	48	48	$459.00	$150.65
92014 Established patient complete exam of visual system	46	45	$381.00	$128.49
92134 Imaging of retina	20	20	$266.00	$40.92
92002 New patient problem focused exam of visual system	20	20	$250.00	$81.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$132.00	$43.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	39	36	$263.00	$86.60
92004 New patient complete exam of visual system	36	36	$459.00	$150.78
92014 Established patient complete exam of visual system	25	25	$381.00	$125.53
92002 New patient problem focused exam of visual system	18	18	$250.00	$82.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$132.00	$44.54

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046-009772

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 Npi

1578798989

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

1475 E Belvidere Rd, Grayslake, IL 600302012

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451673

Phone: 3129266146

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Bradley Ruff , MD

Ophthalmology

NPI 1114905874

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 17, 2015

Registered at 1475 E BELVIDERE RD STE 1297, NORTHWESTERN OPHTHALMOLOGY DEPARTMENT, GRAYSLAKE, IL 600302026 (Tel: 8472950001)

📍

Updated Business Mailing Address November 17, 2015

Registered at 680 N LAKE SHORE DR STE 1000, ATTN: MARTHA HOLDER, CHICAGO, IL 606118709 (Tel: 8472950001)

👤

Provider Name / Credentials Updated November 17, 2015

Recorded as KELLY RAETHER, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2015

Optometrist (License #046-009772 in IL)

🟢

Initial NPI Registration & Enumeration November 15, 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: 1356413223

Entity Type:

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

Enumeration Date: November 15, 2006

Last Update: November 17, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

680 N Lake Shore Dr Ste 1000, Attn: Martha Holder

Chicago, IL 606118709

Phone: 8472950001

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.