Deactivated NPI 1538169248 Deactivated / Inactive NPI Male Practitioner

Dr. Kirk H Packo , MD

Ophthalmology • Harvey, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kirk Packo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 22, 2005

NPI Deactivation Date November 01, 2023

Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Kirk Packo, MD was a registered Ophthalmology practicing in Harvey, IL. Throughout an active medical career spanning 18 years, Dr. Packo provided care at the practice location at 71 W 156TH ST until profile deactivation on 2023-11-01.

Historical Medicare Part B clinical services included injection, ranibizumab, 0.1 mg, imaging of retina, injection, aflibercept, 1 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

71 W 156th St
Suite 400

Harvey, IL 604264260

Telephone 7085968710

Fax 7085969820

Associated Practice Facility / Clinic

🏢 Ucm Medical Group Sub, Llc Facility NPI 1467442293

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Harvey, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 31.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Harvey, IL (954 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	98	16	$351.28	$311.69
92134 Imaging of retina	94	85	$29.71	$26.43
J0178 Injection, aflibercept, 1 mg	76	25	$929.00	$921.75
92014 Established patient complete exam of visual system	76	76	$137.31	$135.02
92201 Extended exam of the back part of the eye with retinal drawing	55	54	$26.44	$26.60
67028 Injection of drug into eye	52	45	$210.33	$133.97
92134 Imaging of retina	46	46	$44.53	$43.82
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$94.77	$94.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$133.85	$135.25
92202 Extended exam of the back part of the eye with optic nerve drawing	16	16	$17.66	$16.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	538	268	$29.10	$26.84
J0178 Injection, aflibercept, 1 mg	512	54	$943.26	$930.39
J2778 Injection, ranibizumab, 0.1 mg	432	26	$349.00	$326.57
92014 Established patient complete exam of visual system	412	363	$136.23	$133.34
67028 Injection of drug into eye	318	94	$172.59	$121.07
92134 Imaging of retina	261	173	$44.27	$43.14
92201 Extended exam of the back part of the eye with retinal drawing	175	174	$26.86	$27.11
92202 Extended exam of the back part of the eye with optic nerve drawing	151	141	$17.24	$17.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	79	$120.51	$112.19
99213 Established patient office or other outpatient visit, typically 15 minutes	77	61	$80.44	$81.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$178.83	$178.61
92235 Exam of retinal blood vessels using a special camera after injection of a dye	45	42	$62.70	$45.55
92012 Established patient problem focused exam of visual system	24	24	$96.18	$94.00
92250 Photography of the retina	14	14	$38.45	$23.01
76512 Ultrasound of eye disease, growth, or structure	11	11	$49.66	$33.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	836	38	$360.73	$353.89
92134 Imaging of retina	746	343	$29.89	$27.04
J0178 Injection, aflibercept, 1 mg	656	57	$974.05	$942.95
92014 Established patient complete exam of visual system	479	425	$137.00	$133.17
67028 Injection of drug into eye	461	112	$170.78	$121.16
92134 Imaging of retina	374	203	$43.77	$43.11
99213 Established patient office or other outpatient visit, typically 15 minutes	161	106	$79.46	$78.72
92225 Examination of eye by ophthalmoscope with retinal drawing	112	59	$29.38	$28.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	86	$116.44	$115.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$178.26	$176.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	61	14	$2.28	$1.61
92235 Exam of retinal blood vessels using a special camera after injection of a dye	59	56	$96.10	$45.36
76512 Ultrasound of eye disease, growth, or structure	35	24	$47.37	$36.64
J9035 Injection, bevacizumab, 10 mg	32	15	$84.86	$79.88
92012 Established patient problem focused exam of visual system	30	28	$95.05	$93.07
92226 Examination of eye by ophthalmoscope with retinal drawing	23	12	$26.81	$26.77
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	18	17	$1213.14	$1183.80
92250 Photography of the retina	18	18	$67.63	$22.95
67515 Injection of medication or substance into membrane covering eyeball	14	12	$85.83	$81.27
67036 Removal of eye fluid (vitreous) between the lens and retina	12	11	$971.76	$806.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$222.58	$222.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	844	48	$381.97	$363.99
92134 Imaging of retina	625	317	$30.68	$26.48
92014 Established patient complete exam of visual system	480	427	$137.38	$130.60
J0178 Injection, aflibercept, 1 mg	448	42	$969.33	$952.71
67028 Injection of drug into eye	385	107	$215.02	$117.21
92134 Imaging of retina	360	210	$43.69	$42.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	134	$115.49	$112.60
92225 Examination of eye by ophthalmoscope with retinal drawing	135	75	$28.63	$28.17
99213 Established patient office or other outpatient visit, typically 15 minutes	103	76	$78.43	$76.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$178.74	$174.82
92235 Exam of retinal blood vessels using a special camera after injection of a dye	69	58	$84.23	$44.83
92226 Examination of eye by ophthalmoscope with retinal drawing	33	20	$26.83	$25.40
J9035 Injection, bevacizumab, 10 mg	28	15	$79.19	$77.06
76512 Ultrasound of eye disease, growth, or structure	25	21	$96.06	$43.89
92133 Imaging of optic nerve	14	14	$96.00	$21.32
92012 Established patient problem focused exam of visual system	13	13	$105.72	$90.51
92250 Photography of the retina	13	11	$79.16	$22.03
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	12	12	$1245.36	$1225.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	1,056	53	$408.41	$367.71
92134 Imaging of retina	772	360	$32.45	$26.58
J0178 Injection, aflibercept, 1 mg	602	56	$992.17	$962.88
67028 Injection of drug into eye	513	133	$224.28	$115.51
92014 Established patient complete exam of visual system	410	380	$137.55	$127.10
92134 Imaging of retina	361	170	$47.30	$42.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	201	$115.55	$112.36
92226 Examination of eye by ophthalmoscope with retinal drawing	181	105	$26.64	$25.43
92225 Examination of eye by ophthalmoscope with retinal drawing	171	91	$28.23	$27.80
99213 Established patient office or other outpatient visit, typically 15 minutes	153	101	$78.49	$76.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$177.46	$174.87
92235 Exam of retinal blood vessels using a special camera after injection of a dye	79	76	$97.75	$44.36
92250 Photography of the retina	30	28	$55.34	$22.23
76512 Ultrasound of eye disease, growth, or structure	28	22	$104.41	$55.60
J9035 Injection, bevacizumab, 10 mg	21	13	$82.13	$73.19
92499 Service or surgery of the eye	16	16	$114.19	$22.74
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	15	14	$1241.01	$1221.15
92012 Established patient problem focused exam of visual system	14	14	$98.57	$88.07
92285 Photography of content of eyes	12	12	$45.22	$3.17
92133 Imaging of optic nerve	12	12	$90.44	$20.68
92004 New patient complete exam of visual system	11	11	$210.03	$150.92

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036064569

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Naryan Sabherwal , MD

Ophthalmology - Retina Specialist

NPI 1003227117

Doctor of Medicine (M.D.)

Dr. David Orth , MD

Ophthalmology - Retina Specialist

NPI 1043210750

Doctor of Medicine (M.D.)

Dr. Renaud Duval , MD, FRCSC

Ophthalmology

NPI 1053699140

Doctor of Medicine (M.D.), FRCSC

Dr. Jack Cohen , MD

Ophthalmology - Retina Specialist

NPI 1205836947

Doctor of Medicine (M.D.)

Dr. Joseph Civantos , MD

Ophthalmology - Retina Specialist

NPI 1336149053

Doctor of Medicine (M.D.)

Dr. Kourous Rezaei , MD

Ophthalmology - Retina Specialist

NPI 1366428070

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

⚠️

NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

📍

Updated Business Mailing Address February 04, 2022

Registered at 11516 183RD PL STE SW, ORLAND PARK, IL 604679471 (Tel: 7088771300)

✅

NPI Profile Active November 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2017

Registered at 71 W 156TH ST, SUITE 400, HARVEY, IL 604264260 (Tel: 7085968710)

📍

Updated Business Mailing Address November 15, 2017

Registered at 71 W 156TH ST, SUITE 400, HARVEY, IL 604264260 (Tel: 7085968710)

👤

Provider Name / Credentials Updated November 15, 2017

Recorded as KIRK PACKO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2017

Ophthalmology (License #036064569 in IL)

✅

NPI Profile Active April 25, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2008

Registered at 71 W 156TH ST, SUITE 400, HARVEY, IL 604264260 (Tel: 7085968710)

📍

Updated Business Mailing Address April 25, 2008

Registered at 71 W 156TH ST, SUITE 400, HARVEY, IL 604264260 (Tel: 7085968710)

👤

Provider Name / Credentials Updated April 25, 2008

Recorded as KIRK PACKO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2008

Ophthalmology (License #036064569 in IL)

🟢

Initial NPI Registration & Enumeration July 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1538169248

Entity Type:

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

Enumeration Date: July 22, 2005

Last Update: April 25, 2008

Deactivation Date: November 01, 2023

Update or Correct Profile

Mailing Address

71 W 156th St, Suite 400

Harvey, IL 604264260

Phone: 7085968710

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.