DR. REBECCA CONNELLY (OD) – Optometrist, NPI 1467079137

DR. REBECCA CONNELLY (OD) is a healthcare provider. based in Homer glen, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0003595 (CO). The NPI Number for DR. REBECCA CONNELLY (OD) is 1467079137

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. REBECCA CONNELLY (OD)
NPI
1467079137
Phone
(815) 931-0011
Address
17200 S MCCARRON RD
Enumeration Date
29 June 2020
Last Update Date
29 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
7083616141
Graduation Year
2020 (6 years ago)
PAC ID
0840615423
Group Practice PAC ID
4981591963
Professional Enrollment ID
I20241209002179
Address ID
IL604622088OR9661XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

Provider Addresses for DR. REBECCA CONNELLY (OD)

  • 17200 S MCCARRON RD

    HOMER GLEN, IL 604918260

    Phone: (815) 931-0011

    Type: Mailing

  • 3501 S SHIELDS ST

    FORT COLLINS, CO 805262583

    Phone: (970) 490-2020

    Type: Location

  • 17200 S McCarron Rd

    Homer Glen, IL 604918260

    Phone: (815) 931-0011

    Type: Location

  • 2908 DES MOINES DR

    FORT COLLINS, CO 805256686

    Phone: (815) 931-0011

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $301.

Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alcon Vision LLC ($128).

Total Amount

$301

General + Research + Ownership

Payments

11

Total payment records

General Amount

$301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2024-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200729002767IOptometryCOTBD
I20241209002179IOptometryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2321$0
92014Established patient complete exam of visual system1818$0
View full utilization report →

Insurance plans in this area (ZIP 60491)

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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: 4981591963View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. REBECCA CONNELLY (OD) across health systems?
The NPI 1467079137 uniquely identifies DR. REBECCA CONNELLY (OD) in U.S. healthcare data.
Is DR. REBECCA CONNELLY (OD)'s NPI status active today?
Active status means DR. REBECCA CONNELLY (OD)'s NPI record is not deactivated in the public file.
What services align with DR. REBECCA CONNELLY (OD)'s listing?
DR. REBECCA CONNELLY (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. REBECCA CONNELLY (OD) in Homer Glen, Illinois?
For routing, start with Homer Glen, Illinois for DR. REBECCA CONNELLY (OD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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