KIMBERLY DIANE BLANKSHAIN (MD) – Neuro-ophthalmology Physician, NPI 1801328125
Neuro-ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPHTHALMOLOGY in IL
Provider Addresses for KIMBERLY DIANE BLANKSHAIN (MD)
1855 W Taylor St
Chicago, IL 606127242
Phone: (312) 413-3593
Type: Location
East Galbraith Road, Hartwell, Cincinnati, Hamilton County, Ohio, 45215-5417, United States
CINCINNATI, OH 452362725
Phone: (513) 686-5446
Fax: (513) 686-6868
Type: Mailing
2919 W SIBLEY ST
PARK RIDGE, IL 600682132
Phone: (847) 528-0468
Type: Mailing
2015 N MAIN ST
WHEATON, IL 601873190
Phone: (630) 668-8250
Fax: (630) 668-8916
Type: Location
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 $245.
Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Alcon Vision LLC ($224).
Total Amount
$245
General + Research + Ownership
Payments
7
Total payment records
General Amount
$245
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $224 |
| Bausch & Lomb Americas Inc. | $21 |
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: 2021-08-11
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 |
|---|---|---|---|---|
| I20210811004313 | 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 |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2,543 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 510 | 435 | $0 |
| 92083 | Exam of visual field with extended testing | 196 | 157 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 192 | 192 | $0 |
| 92133 | Imaging of optic nerve | 163 | 144 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| 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 | OH | |
| 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 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 H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IL | |
| - | IL | |
| O P H T H A L M O L O G Y | IL |
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