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MRS. AYLA JADE HIMMELSBACH OD
NPI 1003168337
Optometrist in Portland, OR

Active since October 10, 2012PECOS EnrolledAccepts Medicare Assignment
7826 SW CAPITOL HWY, PORTLAND, OR 97219(503) 224-7788 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2021, Mar 4, 2016, Feb 17, 2016 (3 updates tracked since 2016).

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

NPI1003168337
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. AYLA JADE HIMMELSBACHCredential: OD
Location Address7826 SW CAPITOL HWYPortland, OR 97219-2466
Mailing Address7826 Sw Capitol HwyPortland, OR 97219-2466 · (503) 244-7788 · Fax (503) 244-2809
Phone(503) 224-7788
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2016
Enumeration DateOctober 10, 2012
Last NPPES UpdateNovember 4, 20213 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
✔ NPI 1003168337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OR · 3649ATI
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
7826 SW CAPITOL HWY, Portland, OR 97219
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Other Names 1

Former Name (1)Miss Ayla Jade Davis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1557667136
PECOS Enrollment IDI20160624001074
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
57 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients

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.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MEGANEKO LLC
Optometrist
7826 SW CAPITOL HWY
PORTLAND, OR 97219
Multnomah County (503) 863-0657
ATLAS EYE GROUP LLC
Optometrist
7826 SW CAPITOL HWY
PORTLAND, OR 97219
Multnomah County (541) 740-4942
DR. JOSEPH CANFIELD BEATTIE O.D.
Optometrist
7826 SW CAPITOL HWY
PORTLAND, OR 97219
Multnomah County (503) 244-7788

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.

What insurance does Ayla Himmelsbach accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BridgeSpan Health Company, Moda Health Plan, Inc. and PacificSource Health Plans and 2 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.