DR. MICHAEL HENNESSEY (M.D.) – Ophthalmology Physician, NPI 1912994393

DR. MICHAEL HENNESSEY (M.D.) is a healthcare provider. based in Elmwood park, Illinois. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 036090346 (IL). The NPI Number for DR. MICHAEL HENNESSEY (M.D.) is 1912994393

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL HENNESSEY (M.D.)
NPI
1912994393
Phone
(708) 452-4257
Address
7638 W NORTH AVE
Enumeration Date
30 September 2005
Last Update Date
5 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
7084524257
Graduation Year
1991 (35 years ago)
PAC ID
4688587900
Group Practice PAC ID
1658284062
Professional Enrollment ID
I20101015000410
Address ID
IL607074157EL7638XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

958 OPHTHALMOLOGY in IL

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Provider Addresses for DR. MICHAEL HENNESSEY (M.D.)

  • North Avenue, Elmwood, Geneva, Ashtabula County, Ohio, 44041, United States

    ELMWOOD PARK, IL 607074157

    Phone: (708) 452-4257

    Fax: (708) 452-4283

    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 24 Open Payments records for all available years, with a total value of $672.

Total Amount is formed as General ($672) + Research ($0) + Ownership ($0) = $672.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($203).

Total Amount

$672

General + Research + Ownership

Payments

24

Total payment records

General Amount

$672

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-10-15

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
I20101015000410IOphthalmologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,064862$0
92250Photography of the retina520515$0
92083Exam of visual field with extended testing428409$0
99213Established patient office or other outpatient visit, 20-29 minutes418251$0
92133Imaging of optic nerve400347$0
View full utilization report →

Insurance plans in this area (ZIP 60707)

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Provider's Procedures

DR. MICHAEL HENNESSEY (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIL92083Measurement of field of vision during daylight conditions187173

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: 1658284062View full group profile
NameSpecialtyState
O P H T H A L M O L O G YAL
-IL

Reviews

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Frequently asked questions

Does DR. MICHAEL HENNESSEY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MICHAEL HENNESSEY (M.D.) uses 1912994393.
Does CMS list DR. MICHAEL HENNESSEY (M.D.) as active?
Yes — DR. MICHAEL HENNESSEY (M.D.) is active in the NPI listing used on this page.
What healthcare role does DR. MICHAEL HENNESSEY (M.D.) hold?
Scheduling teams often label DR. MICHAEL HENNESSEY (M.D.) under Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MICHAEL HENNESSEY (M.D.) on a map?
Expect Elmwood Park, Illinois as a primary anchor for DR. MICHAEL HENNESSEY (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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