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MRS. MEGGAN CLAIR HEINZ O.D.
NPI 1003806761
Optometrist in Monroe Township, NJ

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
61.21/100
CMS Quality Rating
155 FEDERAL ROAD, MONROE TOWNSHIP, NJ 08831(732) 213-3894 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Meggan Clair Heinz O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MEGGAN CLAIR HEINZ O.D. (NPI 1003806761) is an individual optometrist in Monroe Township, New Jersey, licensed in New Jersey (27OA00597900) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2005).

NPPES Registry Identity

NPI1003806761
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. MEGGAN CLAIR HEINZCredential: O.D.
Location Address155 FEDERAL ROADMonroe Township, NJ 08831
Mailing Address155 Federal RoadMonroe Township, NJ 08831 · (732) 213-3894
Phone(732) 213-3894
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2005
Enumeration DateOctober 25, 2005
Last NPPES UpdateNovember 14, 2014
✔ NPI 1003806761 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 NJ · 27OA00597900
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.
155 FEDERAL ROAD, Monroe Township, NJ 08831
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Other Identifiers 3

Medicaid0085928NJ
Medicare UPINV07366NJ
Medicare ID-Type Unspecified096114NJ

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, Providence Health Plan.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. Meggan Clair Heinz O.d. 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 ID8921028705
PECOS Enrollment IDI20240903001593
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 8

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,059 services889 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
1,040 services840 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
843 services843 patients
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.
788 services674 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
86 services83 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
68 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08831 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality21.66
Promoting Interoperability81
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
75%3,309 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Meggan Heinz's NPI number?

The NPI number for Meggan Heinz is 1003806761. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Meggan Heinz located?

Meggan Heinz practices at 155 Federal Road, Monroe Township, NJ 08831. The listed phone number is (732) 213-3894.

What is Meggan Heinz's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Meggan Heinz enrolled in Medicare?

Yes. Meggan Heinz 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 Meggan Heinz accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Meggan Heinz 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 Meggan Heinz was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.