Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790759694 Individual Practitioner Male Practitioner

Dr. Peter Anthony Russo , OD

Optometrist • Maywood, IL

Professional Overview & Biography Verified Profile Summary

Dr. Peter Russo, OD is a registered healthcare professional specializing in Optometrist in Maywood, IL. Practice services are available at 2160 S 1ST AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, exam of visual field with extended testing, established 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

2160 S 1st Ave
(17w740 22nd Steert, Oakbrook Terrace, Il. 60181)

Maywood, IL 60153

Telephone 6306277399
Fax 6306277079
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Maywood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Maywood, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.3% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92012 Established patient problem focused exam of visual system
38 33 $135.00 $54.16
92083 Exam of visual field with extended testing
30 27 $221.00 $28.22
92014 Established patient complete exam of visual system
29 29 $211.00 $83.50
92133 Imaging of optic nerve
20 20 $96.00 $23.16
92004 New patient complete exam of visual system
16 16 $307.00 $104.21
92020 Examination of cornea and iris using lens device and slit lamp
16 16 $128.00 $22.11
92012 Established patient problem focused exam of visual system
15 14 $135.00 $55.11
92002 New patient problem focused exam of visual system
11 11 $169.00 $46.21

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 46008021

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
46008021 (IL)

Practice Associates & Co-Workers

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

19 Associated Practitioners
Dr. Maureen Fearon , MD

Internal Medicine

NPI 1144294463

Doctor of Medicine (M.D.)

Dr. Lowell Steen , MD

Internal Medicine - Cardiovascular Disease

NPI 1174681605

Doctor of Medicine (M.D.)

Dr. Timothy Vavra , DO

Internal Medicine

NPI 1184699076

Doctor of Osteopathic Medicine (D.O.)

Dr. Susan Rohde , MD

Internal Medicine

NPI 1225002348

Doctor of Medicine (M.D.)

Dr. Jorge Asconape , MD

Psychiatry & Neurology - Neurology

NPI 1245200609

Doctor of Medicine (M.D.)

Dr. Marc Borge , MD

Radiology - Vascular & Interventional Radiology

NPI 1255318127

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 March 04, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2010

Registered at 2160 S 1ST AVE, (17W740 22ND STEERT, OAKBROOK TERRACE, IL. 60181), MAYWOOD, IL 60153 (Tel: 6306277399)

📍
Updated Business Mailing Address March 04, 2010

Registered at 2160 S 1ST AVE, (17W740 22ND STEERT, OAKBROOK TERRACE, IL. 60181), MAYWOOD, IL 60153 (Tel: 6306277399)

👤
Provider Name / Credentials Updated March 04, 2010

Recorded as PETER RUSSO, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2010

Optometrist (License #46008021 in IL)

🟢
Initial NPI Registration & Enumeration February 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: 1790759694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2006
Last Update: March 04, 2010
Sole Proprietor: No

Mailing Address

2160 S 1st Ave, (17w740 22nd Steert, Oakbrook Terrace, Il. 60181)

Maywood, IL 60153

Phone: 6306277399

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.