DR. PETER JOHN POPOVICH (O.D.) – Optometrist, NPI 1649629072

DR. PETER JOHN POPOVICH (O.D.) is a healthcare provider. based in Dixon, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046010978 (IL). The NPI Number for DR. PETER JOHN POPOVICH (O.D.) is 1649629072

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER JOHN POPOVICH (O.D.)
NPI
1649629072
Phone
(815) 284-2020
Address
511 PALMYRA ST
Enumeration Date
7 June 2016
Last Update Date
8 October 2019

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8152842020
Graduation Year
2016 (10 years ago)
PAC ID
4183919350
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20160826001358
Address ID
IL610211953DI511XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. PETER JOHN POPOVICH (O.D.)

  • 511, Palmyra Street, Dixon, Lee County, Illinois, 61021, United States

    DIXON, IL 610211953

    Phone: (815) 284-2020

    Fax: (815) 284-8326

    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 7 Open Payments records for all available years, with a total value of $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2024-03-25 • Largest payer in this snapshot: Alcon Vision LLC ($121).

Total Amount

$192

General + Research + Ownership

Payments

7

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-25

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: 2016-08-26

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
I20160826001358IOptometryILTBD

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
92134Imaging of retina265232$0
99213Established patient office or other outpatient visit, 20-29 minutes189157$0
92014Established patient complete exam of visual system172172$0
92133Imaging of optic nerve9577$0
92004New patient complete exam of visual system8484$0
View full utilization report →

Insurance plans in this area (ZIP 61021)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. PETER JOHN POPOVICH (O.D.)?
Save NPI 1649629072 if you need a stable reference for DR. PETER JOHN POPOVICH (O.D.).
Does this profile mean DR. PETER JOHN POPOVICH (O.D.) is currently active?
Yes — DR. PETER JOHN POPOVICH (O.D.) appears active in the national provider directory.
What kind of provider is DR. PETER JOHN POPOVICH (O.D.)?
The page reflects Optometrist for DR. PETER JOHN POPOVICH (O.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. PETER JOHN POPOVICH (O.D.)?
The page summarizes Dixon, Illinois for DR. PETER JOHN POPOVICH (O.D.); expand the address list for detail.
Is DR. PETER JOHN POPOVICH (O.D.) a real provider?
This page reflects official NPPES data for NPI 1649629072. Always confirm identity and privileges with the practice and licensing boards.

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