DR. SAMUEL J MULTACK (D.O) – Ophthalmology Physician, NPI 1619135233
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPHTHALMOLOGY in IL
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Provider Addresses for DR. SAMUEL J MULTACK (D.O)
4001, Vollmer Road, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States
OLYMPIA FIELDS, IL 604613168
Phone: (708) 747-4000
Type: Location
2929, Southwind Drive, New Lenox, Will County, Illinois, 60451, United States
NEW LENOX, IL 604519251
Phone: (815) 462-1962
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 123 Open Payments records for all available years, with a total value of $10,020.
Total Amount is formed as General ($10,020) + Research ($0) + Ownership ($0) = $10,020.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Alcon Vision LLC ($8,272).
Total Amount
$10,020
General + Research + Ownership
Payments
123
Total payment records
General Amount
$10,020
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $8,272 |
| ABBVIE INC. | $405 |
| RxSight Inc | $269 |
| Bausch & Lomb Americas Inc. | $195 |
| Mallinckrodt Hospital Products Inc. | $186 |
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: 2011-08-02
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 |
|---|---|---|---|---|
| I20110802000754 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| 83861 | Microfluid analysis of tears | 1,433 | 567 | $0 |
| 92250 | Photography of the retina | 925 | 742 | $0 |
| 92014 | Established patient complete exam of visual system | 877 | 671 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 364 | 204 | $0 |
| 92012 | Established patient problem focused exam of visual system | 359 | 237 | $0 |
Insurance plans in this area (ZIP 60461)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | IL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 629 | 375 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | MA | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL |
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