Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972166510 Individual Practitioner Male Practitioner

Dr. Rahul Kapoor , MD

Ophthalmology • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Rahul Kapoor, MD is a certified Ophthalmology practicing in Springfield, IL. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Kapoor delivers high-quality medical care to the local community at 1025 S 6TH ST.

Dr. Kapoor does not directly accept Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1025 S 6th St

Springfield, IL 627032499

Telephone 2175287541
Associated Practice Facility / Clinic
🏢 Springfield Clinic, Llp Facility NPI 1780638478

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Springfield, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -14.4 yrs vs City Avg
City Avg: 22.4 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Springfield, IL (954 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kapoor (8 Years) 8 Yrs
Springfield Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
81 81 $396.81 $137.98
92014 Established patient complete exam of visual system
62 58 $397.84 $117.20
92136 Measurement of corneal curvature and depth of eye
55 55 $340.00 $43.90
66984 Removal of cataract with insertion of lens
37 21 $3806.31 $506.15
92134 Imaging of retina
35 34 $184.00 $35.10
92012 Established patient problem focused exam of visual system
28 22 $293.00 $82.78
76519 Ultrasound of eye for determination of lens power
20 20 $468.75 $62.90
92133 Imaging of optic nerve
16 14 $171.56 $31.72
92020 Examination of cornea and iris using lens device and slit lamp
12 12 $132.00 $25.68

Medical Specialties & State Licenses

CMS Verified: 2024-09-10
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IL 036166415

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864
Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546
Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2024

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location November 17, 2023

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032499 (Tel: 2175287541)

📍
Updated Business Mailing Address November 17, 2023

Registered at PO BOX 19248, SPRINGFIELD, IL 627949248 (Tel: 2175287541)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2023

Ophthalmology (License #036166415 in IL)

NPI Profile Active April 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2019

Registered at 177 FT WASHINGTN AVE # 7GS-313, NEW YORK, NY 100323733 (Tel: 7188442888)

📍
Updated Business Mailing Address April 18, 2019

Registered at 177 FT WASHINGTN AVE # 7GS-313, NEW YORK, NY 100323733

👤
Provider Name / Credentials Updated April 18, 2019

Recorded as RAHUL KAPOOR, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 18, 2019

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: 1972166510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2019
Last Update: September 10, 2024
Sole Proprietor: No

Mailing Address

Po Box 19248

Springfield, IL 627949248

Phone: 2175287541

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.