Dr. Rahul Kapoor , MD
Ophthalmology โข Springfield, IL
1025 S 6th St
Springfield, IL 627032499
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on April 18, 2019; this date does not establish years in practice.
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Published CMS data list 346 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 92004 โ New patient complete exam of visual system: 81 service units.
- 92014 โ Established patient complete exam of visual system: 62 service units.
- 92136 โ Measurement of corneal curvature and depth of eye: 55 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 707 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Prednisolone Acetate โ 195 prescription fills, including refills.
- Ketorolac Tromethamine โ 156 prescription fills, including refills.
- Moxifloxacin (Moxifloxacin Hcl) โ 134 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 85% of clinicians listed under Ophthalmology in Springfield, IL (2024, 16 clinicians with data). Median for this group: 1,517. Middle half: 709 to 7,850.
Fewer Medicare Part B services than 85% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: 1,942. Middle half: 813 to 3,689.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 126 in 2020 to 707 in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2020โ2024.
Practice Location & Contact Primary Location
1025 S 6th St
Springfield, IL 627032499
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2018
What Public CMS Data Show
Ophthalmology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
131 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $45,205 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $32,886 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
895 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$13,362 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $148.89 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Kapoor has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Kapoor as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 85% of clinicians listed under Ophthalmology in Springfield, IL (2024, 16 clinicians with data). Median for this group: 1,517. Middle half: 709 to 7,850.
Fewer Medicare Part B services than 85% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: 1,942. Middle half: 813 to 3,689.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Ophthalmology in Springfield, IL (2024, 16 clinicians with data). Median for this group: $213,217. Middle half: $99,012 to $569,763.
A lower Medicare-allowed amount than 80% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: $217,562. Middle half: $82,211 to $445,105.
Paid by Medicare
A lower Medicare payment amount than 80% of clinicians listed under Ophthalmology in Springfield, IL (2024, 16 clinicians with data). Median for this group: $154,907. Middle half: $67,838 to $440,296.
A lower Medicare payment amount than 80% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: $156,041. Middle half: $58,651 to $322,257.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Ophthalmology in Springfield, IL (2024, 17 clinicians with data). Median for this group: 881. Middle half: 227 to 1,991.
Close to the middle for clinicians listed under Ophthalmology in Illinois (2024, 570 clinicians with data). Median for this group: 891. Middle half: 294 to 1,971.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Ophthalmology in Springfield, IL (2024, 17 clinicians with data). Median for this group: $44,196. Middle half: $13,362 to $259,055.
A lower Part D drug cost than 70% of clinicians listed under Ophthalmology in Illinois (2024, 570 clinicians with data). Median for this group: $71,776. Middle half: $10,407 to $185,387.
25 active clinicians are listed under Ophthalmology with a practice address in Springfield, IL (898 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
4% of these 25 clinicians have the CMS telehealth indicator.
52% of these 25 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2024 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2024 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2024 only.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 461% from 126 in 2020 to 707 in 2024.
- 2020: 126
- 2021: 792
- 2022: 555
- 2023: 858
- 2024: 707
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30-day fills
30-day fills increased 500% from 149 in 2020 to 895 in 2024.
- 2020: 149
- 2021: 905
- 2022: 686
- 2023: 1,162
- 2024: 895
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Part D drug cost
Part D drug cost increased 161% from $5,126 in 2020 to $13,362 in 2024.
- 2020: $5,126
- 2021: $46,231
- 2022: $36,150
- 2023: $35,334
- 2024: $13,362
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2023 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $148.89.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Alcon Vision LLC |
Food and Beverage
In-kind items and services
|
Clareon | General | $148.89 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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92004
New patient complete exam of visual system
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81 | 81 | $396.81 | $137.98 |
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92014
Established patient complete exam of visual system
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62 | 58 | $397.84 | $117.20 |
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92136
Measurement of corneal curvature and depth of eye
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55 | 55 | $340.00 | $43.90 |
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66984
Removal of cataract with insertion of prosthetic lens
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37 | 21 | $3806.31 | $506.15 |
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92134
Imaging of retina
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35 | 34 | $184.00 | $35.10 |
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92012
Established patient problem focused exam of visual system
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28 | 22 | $293.00 | $82.78 |
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76519
Ultrasound scan to determine eye length and lens power
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20 | 20 | $468.75 | $62.90 |
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92133
Imaging of optic nerve
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16 | 14 | $171.56 | $31.72 |
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92020
Exam of the internal drainage system of eye
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12 | 12 | $132.00 | $25.68 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisolone Acetate | Prednisolone Acetate | 195 | 4,663 | $5,078.26 | 119 |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 156 | 3,630 | $1,734.25 | 92 |
| Moxifloxacin | Moxifloxacin Hcl | 134 | 2,329 | $3,379.59 | 84 |
| Brimonidine Tartrate | Brimonidine Tartrate | 75 | 3,528 | $1,306.75 | 43 |
| Latanoprost | Latanoprost | 66 | 3,987 | $769.62 | 30 |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 32 | 1,611 | $559.84 | 15 |
| Timolol Maleate | Timolol Maleate | 24 | 1,591 | $200.52 | 12 |
| Dorzolamide Hcl | Dorzolamide Hcl | 14 | 709 | $165.08 | โ |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 11 | 249 | $168.41 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-09-10NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPHTHALMOLOGY
I20231109002038
IL
3274861810
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Pediatrics
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Student in an Organized Health Care Education/Training Program
Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032499 (Tel: 2175287541)
Registered at PO BOX 19248, SPRINGFIELD, IL 627949248 (Tel: 2175287541)
Ophthalmology (license number reported to NPPES: IL 036166415)
NPI status registered as active in NPPES database
Registered at 177 FT WASHINGTN AVE # 7GS-313, NEW YORK, NY 100323733 (Tel: 7188442888)
Registered at 177 FT WASHINGTN AVE # 7GS-313, NEW YORK, NY 100323733
Recorded as RAHUL KAPOOR, MD
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Ophthalmology Specialists in Springfield
- Dr. Thandeka Myeni, MD
- Dr. Stephen Holland, MD
- Dr. Sandra Yeh, MD
- Dr. Aleksandr Kagan, DO
- Dr. Lisa Nijm, MD
- Dr. Alex Willis, MD
Mailing Address
Po Box 19248
Springfield, IL 627949248
Phone: 2175287541