ROGER W FITCH (O.D.) – Optometrist, NPI 1306837307

ROGER W FITCH (O.D.) is a healthcare provider. based in Peoria, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046006836 (IL). The NPI Number for ROGER W FITCH (O.D.) is 1306837307

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
ROGER W FITCH (O.D.)
NPI
1306837307
Phone
(309) 691-4500
Address
4900 N GLEN PARK PLACE RD
Enumeration Date
31 October 2005
Last Update Date
28 March 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3094448811
Graduation Year
1976 (50 years ago)
PAC ID
9931171592
Group Practice PAC ID
0042282691
Professional Enrollment ID
I20040818000015
Address ID
IL615719646WA1009XLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for ROGER W FITCH (O.D.)

  • North Glen Park Place Road, Peoria, Peoria County, Illinois, 61614, United States

    SUITE C

    PEORIA, IL 616144679

    Phone: (309) 691-4500

    Fax: (309) 693-2534

    Type: Mailing

  • 4727 N SHERIDAN RD

    PEORIA, IL 616145925

    Phone: (309) 685-2020

    Fax: (309) 693-2536

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $699.

Total Amount is formed as General ($699) + Research ($0) + Ownership ($0) = $699.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($249).

Total Amount

$699

General + Research + Ownership

Payments

22

Total payment records

General Amount

$699

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2004-08-18

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
I20040818000015IOptometryILTBD

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 lens3,20322$0
92014Established patient complete exam of visual system525517$0
92250Photography of the retina354338$0
99213Established patient office or other outpatient visit, 20-29 minutes11489$0
92133Imaging of optic nerve6660$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

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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: 0042282691View 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

Reviews

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Frequently asked questions

How do payers reference ROGER W FITCH (O.D.)?
For ROGER W FITCH (O.D.), use NPI 1306837307 as the unique 10-digit identifier.
Is there an active status for ROGER W FITCH (O.D.)?
For scheduling context, ROGER W FITCH (O.D.) is shown as active in the registry.
What area of care is associated with ROGER W FITCH (O.D.)?
ROGER W FITCH (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Illinois is ROGER W FITCH (O.D.) registered?
Use Peoria, Illinois as the headline location for ROGER W FITCH (O.D.) here.
Does ROGER W FITCH (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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