DR. YANNIS N KOLETTIS (M.D.) – Ophthalmology Physician, NPI 1922095579
Ophthalmology Physician
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Profile Insights
NPPES metrics only — not quality of care.
958 OPHTHALMOLOGY in IL
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Provider Addresses for DR. YANNIS N KOLETTIS (M.D.)
8921, North Wood Sage Road, Peoria, Peoria County, Illinois, 61615, United States
PEORIA, IL 616157822
Phone: (309) 243-2400
Fax: (309) 243-7918
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 9 Open Payments records for all available years, with a total value of $678.
Total Amount is formed as General ($678) + Research ($0) + Ownership ($0) = $678.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($331).
Total Amount
$678
General + Research + Ownership
Payments
9
Total payment records
General Amount
$678
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $331 |
| ABBVIE INC. | $138 |
| Alcon Vision LLC | $118 |
| Oyster Point Pharma, Inc. | $74 |
| Johnson & Johnson Surgical Vision, Inc. | $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: 2004-12-29
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 |
|---|---|---|---|---|
| I20041229000344 | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 1,292 | 1,270 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 421 | 263 | $0 |
| 66984 | Removal of cataract with insertion of prosthetic lens | 409 | 229 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 294 | 279 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 204 | 162 | $0 |
Insurance plans in this area (ZIP 61615)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | IL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 311 | 277 |
| OPHTHALMOLOGY | IL | 92083 | Measurement of field of vision during daylight conditions | 150 | 143 |
| OPHTHALMOLOGY | IL | 92134 | Diagnostic imaging of retina | 81 | 78 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R 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 | |
| - | 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 | |
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL |
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