DR. MAUREEN RADDATZ (O.D.) – Optometrist, NPI 1801847017

DR. MAUREEN RADDATZ (O.D.) is a healthcare provider. based in Marion, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-009543 (IL). The NPI Number for DR. MAUREEN RADDATZ (O.D.) is 1801847017

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAUREEN RADDATZ (O.D.)
NPI
1801847017
Phone
(618) 993-5686
Address
1200 W DEYOUNG ST
Enumeration Date
12 May 2006
Last Update Date
1 October 2008

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6186623202
Graduation Year
2003 (23 years ago)
PAC ID
1052201696
Group Practice PAC ID
3072426774
Professional Enrollment ID
I20040317001475
Address ID
IL628392534FL520XXAVEX400
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. MAUREEN RADDATZ (O.D.)

  • 1200, West Deyoung Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629594437

    Phone: (618) 993-5686

    Fax: (618) 997-6250

    Type: Mailing

  • Marion Eye Center and Optical, 5, Eye Center Drive, Harrisburg, Saline County, Illinois, 62946, United States

    HARRISBURG, IL 629463334

    Phone: (618) 252-5377

    Fax: (618) 252-3028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-03-17

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
I20040317001475IOptometryILTBD

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
92012Established patient problem focused exam of visual system265193$0
92014Established patient complete exam of visual system223209$0
92134Imaging of retina10595$0
92004New patient complete exam of visual system7878$0
92133Imaging of optic nerve4848$0
View full utilization report →

Insurance plans in this area (ZIP 62959)

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Provider's Procedures

DR. MAUREEN RADDATZ (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92012Eye and medical examination for diagnosis and treatment, established patient237166

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: 3072426774View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R 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 T O M E T R YIL
O P H T H A L M O L O G YIL
Physician AssistantIL
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 YIL

Reviews

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Frequently asked questions

Does DR. MAUREEN RADDATZ (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MAUREEN RADDATZ (O.D.) uses 1801847017.
Does CMS list DR. MAUREEN RADDATZ (O.D.) as active?
Yes — DR. MAUREEN RADDATZ (O.D.) is active in the NPI listing used on this page.
What is DR. MAUREEN RADDATZ (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. MAUREEN RADDATZ (O.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MAUREEN RADDATZ (O.D.) on a map?
Expect Marion, Illinois as a primary anchor for DR. MAUREEN RADDATZ (O.D.) unless the record lists multiple sites.
Why does DR. MAUREEN RADDATZ (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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