DR. KENNETH PORTNOY (O.D.) – Optometrist, NPI 1487645412

DR. KENNETH PORTNOY (O.D.) is a healthcare provider. based in Wheeling, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-007059 (IL). The NPI Number for DR. KENNETH PORTNOY (O.D.) is 1487645412

Main info

Male
Sole Proprietor
48 Years Of Experience
Name
DR. KENNETH PORTNOY (O.D.)
NPI
1487645412
Phone
(847) 459-4477
Address
727 W DUNDEE RD
Enumeration Date
31 October 2005
Last Update Date
6 June 2008

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8474594477
Graduation Year
1978 (48 years ago)
PAC ID
3870642945
Group Practice PAC ID
3375907819
Professional Enrollment ID
I20090520000059
Address ID
IL600902605WH727XXRDXX400
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. KENNETH PORTNOY (O.D.)

  • 727, West Dundee Road, Wheeling, Wheeling Township, Cook County, Illinois, 60090, United States

    WHEELING, IL 600902605

    Phone: (847) 459-4477

    Fax: (847) 459-4535

    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 12 Open Payments records for all available years, with a total value of $850.

Total Amount is formed as General ($850) + Research ($0) + Ownership ($0) = $850.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($340).

Total Amount

$850

General + Research + Ownership

Payments

12

Total payment records

General Amount

$850

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2009-05-20

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
I20090520000059IOptometryILTBD

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 minutes5346$0
View full utilization report →

Insurance plans in this area (ZIP 60090)

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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: 3375907819View 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 YOK

Reviews

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Frequently asked questions

What NPI should I save for DR. KENNETH PORTNOY (O.D.)?
Save NPI 1487645412 if you need a stable reference for DR. KENNETH PORTNOY (O.D.).
Does this profile mean DR. KENNETH PORTNOY (O.D.) is currently active?
Yes — DR. KENNETH PORTNOY (O.D.) appears active in the national provider directory.
What kind of provider is DR. KENNETH PORTNOY (O.D.)?
The page reflects Optometrist for DR. KENNETH PORTNOY (O.D.). Clinical services aligned with this taxonomy classification.
Where is DR. KENNETH PORTNOY (O.D.)'s primary listing?
We display Wheeling, Illinois because that is what the record indicates for DR. KENNETH PORTNOY (O.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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