DR. BRADLEY V. KAMPSCHROEDER (O.D.) – Optometrist, NPI 1104919158

DR. BRADLEY V. KAMPSCHROEDER (O.D.) is a healthcare provider. based in Downers grove, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 46-8724 (IL). The NPI Number for DR. BRADLEY V. KAMPSCHROEDER (O.D.) is 1104919158

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY V. KAMPSCHROEDER (O.D.)
NPI
1104919158
Phone
(630) 969-3268
Address
5018 Fairview Ave
Enumeration Date
2 October 2006
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
6303573511
Graduation Year
1994 (32 years ago)
PAC ID
2961484332
Group Practice PAC ID
4082696448
Professional Enrollment ID
I20040817000473
Address ID
IL605405368NA29XXXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. BRADLEY V. KAMPSCHROEDER (O.D.)

  • 5018 Fairview Ave

    Downers Grove, IL 605153951

    Phone: (630) 969-3268

    Fax: (630) 969-3709

    Type: Location

  • Drs. Knotek, Hertzberg and Rafferty-Optometrists, 29, South Webster Street, Downtown Naperville, Naperville, DuPage County, Illinois, 60540, United States

    SUITE 200

    NAPERVILLE, IL 605405356

    Phone: (630) 357-3511

    Fax: (630) 357-0556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

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: 2004-08-17

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
I20040817000473IOptometryILTBD

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 system248247$0
92250Photography of the retina138134$0
99213Established patient office or other outpatient visit, 20-29 minutes3128$0
92133Imaging of optic nerve1818$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 60515)

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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: 4082696448View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
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 is the registry number for DR. BRADLEY V. KAMPSCHROEDER (O.D.)?
The registry entry for DR. BRADLEY V. KAMPSCHROEDER (O.D.) shows NPI 1104919158.
Is DR. BRADLEY V. KAMPSCHROEDER (O.D.)'s NPI status active today?
Active status means DR. BRADLEY V. KAMPSCHROEDER (O.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. BRADLEY V. KAMPSCHROEDER (O.D.) does?
Insurance directories may phrase it differently, but here DR. BRADLEY V. KAMPSCHROEDER (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. BRADLEY V. KAMPSCHROEDER (O.D.)?
The directory associates DR. BRADLEY V. KAMPSCHROEDER (O.D.) with Downers Grove, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. BRADLEY V. KAMPSCHROEDER (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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