MRS. AYLA JADE HIMMELSBACH OD
NPI 1003168337
Optometrist in Portland, OR
About Mrs. Ayla Jade Himmelsbach Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AYLA JADE HIMMELSBACH OD (NPI 1003168337) is an individual optometrist in Portland, Oregon, licensed in Oregon (3649ATI) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Ayla Jade Himmelsbach Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Ayla Himmelsbach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97219
- Reassigned Medicare billing, Oregon enrollment
- 2 clinicians in this Medicare group
Portland, OR 97219
- Reassigned Medicare billing, Oregon enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ayla Himmelsbach's NPI number?
The NPI number for Ayla Himmelsbach is 1003168337. It was assigned to this individual provider in the NPPES registry on October 10, 2012. The provider is also known as Miss Ayla Jade Davis.
Where is Ayla Himmelsbach located?
Ayla Himmelsbach practices at 7826 SW Capitol Hwy, Portland, OR 97219. The listed phone number is (503) 224-7788.
What is Ayla Himmelsbach's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Ayla Himmelsbach enrolled in Medicare?
Yes. Ayla Himmelsbach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ayla Himmelsbach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ayla Himmelsbach reassigns Medicare benefits to 2 organizations: Meganeko LLC (Portland, OR) and Atlas Eye Group LLC (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ayla Himmelsbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ayla Himmelsbach accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BridgeSpan Health Company and Moda Health Plan, Inc. and 3 other insurers list Ayla Himmelsbach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ayla Himmelsbach was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Ayla Jade Himmelsbach, OD · NPI 1003168337
Optometrist provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 10, 2012.
## Identity
- **NPI:** 1003168337 (Entity type: Individual)
- **Enumerated:** October 10, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3649ATI (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7826 SW CAPITOL HWY, Portland, OR 97219-2466
- **Phone:** (503) 224-7788
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Meganeko LLC (NPI 1184387532, Portland, OR); Atlas Eye Group LLC (NPI 1376903328, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific University - College Of Optometry, class of 2016
## Record status
- **NPPES last updated:** November 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003168337) · Data from the CMS NPPES public registry.