DR. MARK D WILMOTH (O.D.) – Optometrist, NPI 1912965823
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
Provider Addresses for DR. MARK D WILMOTH (O.D.)
7451 WOODWARD AVE
SUITE 101
WOODRIDGE, IL 60517
Phone: (630) 663-9112
Fax: (630) 663-9228
Type: Mailing
Sam's Club, 9400, South Western Avenue, Evergreen Park, Worth Township, Cook County, Illinois, 60805, United States
EVERGREEN PARK, IL 608052509
Phone: (708) 636-5301
Fax: (708) 636-6518
Type: Location
3301, Brewer Road, Farmingdale Village, Darien, DuPage County, Illinois, 60561, United States
DARIEN, IL 605611751
Phone: (630) 973-7314
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-05-16 • Largest payer in this snapshot: Alcon Vision LLC ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $17 |
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: 2006-05-25
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 |
|---|---|---|---|---|
| I20060525000022 | I | Optometry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 85 | $0 |
| 92250 | Photography of the retina | 25 | 25 | $0 |
| 92014 | Established patient complete exam of visual system | 12 | 12 | $0 |
Insurance plans in this area (ZIP 60517)
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