Active NPI 1912913047 Individual Practitioner Male Practitioner

Dr. Mark C Rafferty , OD

Optometrist • Naperville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Rafferty, OD is a certified Optometrist practicing in Naperville, IL. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Rafferty delivers high-quality medical care to the local community at 29 S WEBSTER ST.

Dr. Rafferty maintains professional affiliations with Advocate Health And Hospitals Corporation, Dr Raffertys Eye Encounters Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

29 S Webster St
Suite 104

Naperville, IL 605405356

Telephone 6303576880

Fax 6303576995

Associated Practice Facility / Clinic

🏢 Labyrinth Counseling Center, Inc. Facility NPI 1891764585

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Naperville, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +9.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

61 Specialists

Practicing in Naperville, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rafferty (29 Years) 29 Yrs

Naperville Specialty Average (19.4 Years) 19.4 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	262	$249.28	$131.85
92250 Photography of the retina	118	117	$80.00	$37.05
99213 Established patient office or other outpatient visit, typically 15 minutes	117	75	$199.68	$93.62
92133 Imaging of optic nerve	46	45	$87.30	$36.50
92083 Exam of visual field with extended testing	43	42	$114.72	$64.86
92004 New patient complete exam of visual system	25	25	$301.00	$151.69
92014 Established patient complete exam of visual system	24	24	$254.00	$128.04
92020 Examination of cornea and iris using lens device and slit lamp	23	23	$60.00	$27.84
92134 Imaging of retina	14	14	$108.00	$40.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$110.00	$58.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	253	$249.25	$132.55
99213 Established patient office or other outpatient visit, typically 15 minutes	102	76	$196.98	$93.96
92250 Photography of the retina	100	98	$80.00	$38.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	43	$110.92	$59.10
92004 New patient complete exam of visual system	51	51	$279.00	$154.38
92133 Imaging of optic nerve	48	48	$93.67	$37.28
92083 Exam of visual field with extended testing	46	45	$118.04	$65.16
92014 Established patient complete exam of visual system	28	28	$209.00	$130.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$250.00	$174.52
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$60.00	$28.59
92134 Imaging of retina	17	17	$103.94	$41.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	252	$250.00	$134.58
92250 Photography of the retina	128	125	$81.80	$38.79
99213 Established patient office or other outpatient visit, typically 15 minutes	68	59	$198.85	$95.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	40	$110.17	$60.18
92133 Imaging of optic nerve	39	39	$77.87	$37.85
92083 Exam of visual field with extended testing	35	33	$101.06	$66.34
92020 Examination of cornea and iris using lens device and slit lamp	32	32	$58.75	$29.34
92004 New patient complete exam of visual system	31	31	$279.00	$157.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$250.00	$177.45
92014 Established patient complete exam of visual system	17	17	$209.00	$132.97
76514 Ultrasound scan of cornea to determine thickness	12	12	$35.00	$11.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	247	$243.37	$137.02
92250 Photography of the retina	101	100	$83.00	$41.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	42	$106.16	$59.48
99213 Established patient office or other outpatient visit, typically 15 minutes	69	62	$189.94	$95.95
92133 Imaging of optic nerve	27	26	$78.04	$38.68
92020 Examination of cornea and iris using lens device and slit lamp	27	26	$49.44	$29.45
92083 Exam of visual field with extended testing	24	19	$98.58	$67.52
92004 New patient complete exam of visual system	24	24	$279.00	$145.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$250.00	$178.93
76514 Ultrasound scan of cornea to determine thickness	13	13	$35.00	$11.79
92014 Established patient complete exam of visual system	11	11	$209.00	$134.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	229	$124.00	$115.89
92250 Photography of the retina	106	105	$77.68	$47.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	33	$55.90	$48.79
99213 Established patient office or other outpatient visit, typically 15 minutes	39	38	$80.00	$79.93
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$35.00	$29.25
92133 Imaging of optic nerve	19	19	$60.00	$38.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$144.00	$143.47
76514 Ultrasound scan of cornea to determine thickness	12	12	$25.00	$12.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	135	$120.86	$114.95
92250 Photography of the retina	47	47	$76.43	$52.11
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$83.85	$78.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	19	$56.52	$47.85
92004 New patient complete exam of visual system	29	29	$292.03	$159.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$140.17	$139.50
92326 Replacement of contact lens	15	15	$59.33	$39.79
92020 Examination of cornea and iris using lens device and slit lamp	13	13	$35.00	$29.02
76514 Ultrasound scan of cornea to determine thickness	13	13	$32.54	$12.71
92083 Exam of visual field with extended testing	11	11	$106.09	$67.87
92133 Imaging of optic nerve	11	11	$79.36	$38.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	122	$120.00	$111.78
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$80.68	$76.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	13	$55.00	$45.78
92250 Photography of the retina	29	29	$72.24	$55.14
92326 Replacement of contact lens	24	24	$50.42	$38.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$140.00	$137.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	93	$120.00	$108.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	14	$55.76	$44.29
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$84.55	$74.49
92326 Replacement of contact lens	17	17	$37.06	$34.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$140.00	$136.97
92250 Photography of the retina	14	14	$70.00	$52.79

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046-009058

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.

Hospital & Practice Group Affiliations

Dr Raffertys Eye Encounters Llc

29 S Webster St, Naperville, IL 605405353

Phone: 6303576880

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

2 Associated Practitioners

Dr. Katherine Hertzberg , OD

Optometrist

NPI 1013117043

Doctor of Optometry

Dr. Alan Knotek , OD

Optometrist

NPI 1700842341

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 June 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 09, 2015

Registered at 29 S WEBSTER ST, SUITE 104, NAPERVILLE, IL 605405356 (Tel: 6303576880)

📍

Updated Business Mailing Address June 09, 2015

Registered at 29 S WEBSTER ST, SUITE 104, NAPERVILLE, IL 605405356 (Tel: 6303576880)

👤

Provider Name / Credentials Updated June 09, 2015

Recorded as MARK RAFFERTY, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2015

Optometrist (License #046-009058 in IL)

🟢

Initial NPI Registration & Enumeration July 31, 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: 1912913047

Entity Type:

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

Enumeration Date: July 31, 2006

Last Update: June 09, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

29 S Webster St, Suite 104

Naperville, IL 605405356

Phone: 6303576880

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.