NELLIE N PLUMMER (O.D.) – Optometrist, NPI 1568717023

NELLIE N PLUMMER (O.D.) is a healthcare provider. based in Olympia fields, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046010603 (IL). The NPI Number for NELLIE N PLUMMER (O.D.) is 1568717023

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
NELLIE N PLUMMER (O.D.)
NPI
1568717023
Phone
(708) 898-1858
Address
20303 CRAWFORD AVE
Enumeration Date
19 July 2012
Last Update Date
11 January 2017

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7089559278
Graduation Year
2012 (14 years ago)
PAC ID
9537319736
Group Practice PAC ID
6507015138
Professional Enrollment ID
I20121024000700
Address ID
IL604611173OL20303AVEX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for NELLIE N PLUMMER (O.D.)

  • 20303 CRAWFORD AVE

    OLYMPIA FIELDS, IL 604611073

    Phone: (708) 898-1858

    Fax: (708) 898-1860

    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 34 Open Payments records for all available years, with a total value of $726.

Total Amount is formed as General ($726) + Research ($0) + Ownership ($0) = $726.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alcon Vision LLC ($246).

Total Amount

$726

General + Research + Ownership

Payments

34

Total payment records

General Amount

$726

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2012-10-24

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
I20121024000700IOptometryILTBD

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
92250Photography of the retina619528$0
92014Established patient complete exam of visual system559474$0
83861Microfluid analysis of tears416184$0
92012Established patient problem focused exam of visual system333197$0
92083Exam of visual field with extended testing178164$0
View full utilization report →

Insurance plans in this area (ZIP 60461)

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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: 6507015138View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YIL
O P T O M E T R YIL
O P H T H A L M O L O G YIL
-IL

Reviews

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Frequently asked questions

How do payers reference NELLIE N PLUMMER (O.D.)?
For NELLIE N PLUMMER (O.D.), use NPI 1568717023 as the unique 10-digit identifier.
Is NELLIE N PLUMMER (O.D.) shown as active in public data?
Registry records indicate NELLIE N PLUMMER (O.D.) maintains an active NPI.
What kind of doctor is NELLIE N PLUMMER (O.D.)?
NELLIE N PLUMMER (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is NELLIE N PLUMMER (O.D.) registered?
Use Olympia Fields, Illinois as the headline location for NELLIE N PLUMMER (O.D.) here.
Can I trust this NPI listing for NELLIE N PLUMMER (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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