RYAN HANSEN (OD) – Optometrist, NPI 1407386667
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
Provider Addresses for RYAN HANSEN (OD)
4775 E ROCKTON RD UNIT A
ROSCOE, IL 610739076
Phone: (815) 242-9886
Fax: (815) 242-9809
Type: Location
1603 N Alpine Rd Ste 121
Rockford, IL 611071439
Phone: (815) 397-5959
Fax: (815) 261-5971
Type: Location
Ritchie Highway, Pack Town, Severna Park, Anne Arundel County, Maryland, 21146, United States
SEVERNA PARK, MD 211462947
Phone: (410) 544-7417
Fax: (410) 544-4408
Type: Mailing
121, North Alpine Road, Rockford, Winnebago County, Illinois, 61107, United States
ROCKFORD, IL 611071439
Phone: (815) 397-5959
Fax: (815) 261-5971
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($52).
Total Amount
$101
General + Research + Ownership
Payments
6
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $52 |
| Alcon Vision LLC | $33 |
| CooperVision Inc. | $16 |
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: 2019-05-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190506001351 | I | Optometry | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 32 | $0 |
| 92133 | Imaging of optic nerve | 28 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 18 | $0 |
| 92083 | Exam of visual field with extended testing | 21 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 61073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL |
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