IRINA RUTKOWSKI – Optometrist, NPI 1568839231
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,098 OPTOMETRY in WA
Provider Addresses for IRINA RUTKOWSKI
820 OCEAN BEACH HWY STE 100
LONGVIEW, WA 986324081
Phone: (360) 636-2020
Fax: (360) 425-0221
Type: Location
1202 WOODRIDGE DR
ROCKFORD, IL 611084019
Phone:
Type: Mailing
1603 N ALPINE RD STE 121
ROCKFORD, IL 611071439
Phone: (815) 397-5959
Type: Location
500 Columbia St Ste A
Woodland, WA 986748491
Phone: (360) 225-1010
Type: Location
829 OCEAN BEACH HWY STE 100
LONGVIEW, WA 986324010
Phone: (360) 636-2020
Type: Mailing
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 $200.
Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.
Last reported payment date: 2024-02-09 • Largest payer in this snapshot: CooperVision Inc. ($137).
Total Amount
$200
General + Research + Ownership
Payments
9
Total payment records
General Amount
$200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $137 |
| Alcon Vision LLC | $49 |
| Bausch & Lomb Americas Inc. | $14 |
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: 2021-06-10
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 |
|---|---|---|---|---|
| I20210610003117 | I | Optometry | WA | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 206 | 190 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 69 | $0 |
| 92014 | Established patient complete exam of visual system | 109 | 109 | $0 |
| 92004 | New patient complete exam of visual system | 36 | 36 | $0 |
| 92083 | Exam of visual field with extended testing | 23 | 19 | $0 |
Insurance plans in this area (ZIP 98632)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| O P T O M E T R Y | WA | |
| O P T O M E T R Y | WA |
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