DR. ELLEN RENEE PETROCZKY (O.D.) – Optometrist, NPI 1992996383

DR. ELLEN RENEE PETROCZKY (O.D.) is a healthcare provider. based in Elgin, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046.009976 (IL). The NPI Number for DR. ELLEN RENEE PETROCZKY (O.D.) is 1992996383

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLEN RENEE PETROCZKY (O.D.)
NPI
1992996383
Phone
(847) 888-1555
Address
363 S RANDALL RD
Enumeration Date
9 August 2007
Last Update Date
12 July 2013

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8478881555
Graduation Year
2007 (19 years ago)
PAC ID
7810069234
Group Practice PAC ID
9436210762
Professional Enrollment ID
I20080630000594
Address ID
IL601235551EL165XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. ELLEN RENEE PETROCZKY (O.D.)

  • 363, South Randall Road, Weldwood Oaks, Elgin, Kane County, Illinois, 60123, United States

    ELGIN FAMILY EYE CARE

    ELGIN, IL 601235526

    Phone: (847) 888-1555

    Fax: (847) 888-2508

    Type: Location

  • 178, Longford Drive, Elgin, Hanover Township, Cook County, Illinois, 60120, United States

    ELGIN, IL 601204688

    Phone: (815) 291-7647

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Alcon Vision LLC ($87).

Total Amount

$137

General + Research + Ownership

Payments

4

Total payment records

General Amount

$137

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

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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: 2008-06-30

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
I20080630000594IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60123)

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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: 9436210762View full group profile
NameSpecialtyState
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
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
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
O P T O M E T R YIL

Reviews

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Frequently asked questions

How do payers reference DR. ELLEN RENEE PETROCZKY (O.D.)?
For DR. ELLEN RENEE PETROCZKY (O.D.), use NPI 1992996383 as the unique 10-digit identifier.
Active or inactive — what applies to DR. ELLEN RENEE PETROCZKY (O.D.)?
You should see DR. ELLEN RENEE PETROCZKY (O.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. ELLEN RENEE PETROCZKY (O.D.)'s focus?
For DR. ELLEN RENEE PETROCZKY (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. ELLEN RENEE PETROCZKY (O.D.) located near Elgin?
DR. ELLEN RENEE PETROCZKY (O.D.) currently maps to Elgin, Illinois in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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