DR. TAYLER PEACHEY (O.D.) – Optometrist, NPI 1053795906

DR. TAYLER PEACHEY (O.D.) is a healthcare provider. based in Bourbonnais, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046.010903 (IL). The NPI Number for DR. TAYLER PEACHEY (O.D.) is 1053795906

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAYLER PEACHEY (O.D.)
NPI
1053795906
Phone
(815) 932-1116
Address
719 ALMAR PKWY
Enumeration Date
9 July 2015
Last Update Date
6 November 2019

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
0446565535
Group Practice PAC ID
4183649510
Professional Enrollment ID
I20150819006674
Address ID
IL609141775BO42XXXCTRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. TAYLER PEACHEY (O.D.)

  • 719 ALMAR PKWY

    BOURBONNAIS, IL 609142313

    Phone: (815) 932-1116

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $330.

Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($240).

Total Amount

$330

General + Research + Ownership

Payments

19

Total payment records

General Amount

$330

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150819006674IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system3433$0
99212Established patient office or other outpatient visit, 10-19 minutes2417$0
92004New patient complete exam of visual system1717$0
92134Imaging of retina1613$0
View full utilization report →

Insurance plans in this area (ZIP 60914)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183649510View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What federal number belongs to DR. TAYLER PEACHEY (O.D.)?
The federal identifier for DR. TAYLER PEACHEY (O.D.) is NPI 1053795906.
Is DR. TAYLER PEACHEY (O.D.) currently active in the NPI registry?
CMS-published data lists DR. TAYLER PEACHEY (O.D.) as an active registrant.
Can you summarize DR. TAYLER PEACHEY (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. TAYLER PEACHEY (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. TAYLER PEACHEY (O.D.)'s primary listing?
We display Bourbonnais, Illinois because that is what the record indicates for DR. TAYLER PEACHEY (O.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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