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Active NPI 1639166226 Individual Practitioner Male Practitioner

Dr. Kenneth A Schaidle , OD

Optometrist • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Schaidle, OD is a certified Optometrist practicing in Peoria, IL. With approximately 35 years of clinical experience since graduating from Indiana University - School Of Optometry in 1991, Dr. Schaidle delivers high-quality medical care to the local community at 4620 N UNIVERSITY ST.

Dr. Schaidle is affiliated with J A K Enterprises Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

4620 N University St

Peoria, IL 616145889

Telephone 3096928222
Fax 3096928226
Associated Practice Facility / Clinic
🏢 J A K Enterprises Inc Facility NPI 1134173321

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Peoria, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +11.6 yrs vs City Avg
City Avg: 23.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Peoria, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
6.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schaidle (35 Years) 35 Yrs
Peoria Specialty Average (23.4 Years) 23.4 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
22 22 $125.00 $117.25

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046008408

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
046008408 (IL)
Commercial Insurance / Payer ID Medicare Railroad
410033418 (IL)
Commercial Insurance / Payer ID Bcbs
7215175 (IL)

Hospital & Practice Group Affiliations

J A K Enterprises Inc

4620 N University St, Peoria, IL 616145889

Phone: 3096928222

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1912993544

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 January 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2014

Registered at 4620 N UNIVERSITY ST, PEORIA, IL 616145889 (Tel: 3096928222)

📍
Updated Business Mailing Address January 10, 2014

Registered at 8309 N KNOXVILLE AVE, PEORIA, IL 616152170 (Tel: 3096939540)

👤
Provider Name / Credentials Updated January 10, 2014

Recorded as KENNETH SCHAIDLE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2014

Optometrist (License #046008408 in IL)

🟢
Initial NPI Registration & Enumeration September 29, 2005

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: 1639166226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2005
Last Update: January 10, 2014
Sole Proprietor: No

Mailing Address

8309 N Knoxville Ave

Peoria, IL 616152170

Phone: 3096939540

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.