DR. BRIAN BOUTON (OD) – Optometrist, NPI 1154375392

DR. BRIAN BOUTON (OD) is a healthcare provider. based in Joliet, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046009118 (IL). The NPI Number for DR. BRIAN BOUTON (OD) is 1154375392

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN BOUTON (OD)
NPI
1154375392
Phone
(815) 577-2020
Address
2537 PLAINFIELD RD
Enumeration Date
20 May 2006
Last Update Date
5 August 2013

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8155772020
Graduation Year
1997 (29 years ago)
PAC ID
4587608054
Group Practice PAC ID
0244489862
Professional Enrollment ID
I20050615000540
Address ID
IL604351463JO2537XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. BRIAN BOUTON (OD)

  • 2537, Plainfield Road, Crystal Lawns, Joliet, Plainfield Township, Will County, Illinois, 60435, United States

    JOLIET, IL 604351463

    Phone: (815) 577-2020

    Fax: (815) 577-0998

    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 28 Open Payments records for all available years, with a total value of $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($199).

Total Amount

$521

General + Research + Ownership

Payments

28

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2005-06-15

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
I20050615000540IOptometryILTBD

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
66984Removal of cataract with insertion of prosthetic lens1,29511$0
92250Photography of the retina222210$0
92014Established patient complete exam of visual system210208$0
99213Established patient office or other outpatient visit, 20-29 minutes9171$0
92004New patient complete exam of visual system4646$0
View full utilization report →

Insurance plans in this area (ZIP 60435)

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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: 0244489862View full group profile
NameSpecialtyState
O P T O M E T R YIL

Reviews

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Frequently asked questions

Is there an official ID for DR. BRIAN BOUTON (OD) in U.S. healthcare records?
The official identifier for DR. BRIAN BOUTON (OD) is NPI 1154375392.
Is DR. BRIAN BOUTON (OD) shown as active in public data?
Registry records indicate DR. BRIAN BOUTON (OD) maintains an active NPI.
How would a patient describe DR. BRIAN BOUTON (OD)'s focus?
For DR. BRIAN BOUTON (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. BRIAN BOUTON (OD)?
Directory geography for DR. BRIAN BOUTON (OD) centers on Joliet, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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