DR. MARIAM HESSEN OD
NPI 1033942354
Optometrist in Montclair, NJ

Active since August 22, 2024PECOS EnrolledAccepts Medicare Assignment
321 ORANGE RD, MONTCLAIR, NJ 07042(973) 744-6466 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mariam Hessen Od NPPES

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

DR. MARIAM HESSEN OD (NPI 1033942354) is an individual optometrist in Montclair, New Jersey, licensed in New Jersey (27OA00731600) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2024).

NPPES Registry Identity

NPI1033942354
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARIAM HESSENCredential: OD
Location Address321 ORANGE RDMontclair, NJ 07042-4451
Mailing Address321 Orange RdMontclair, NJ 07042-4451
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2024
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1033942354 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 · 27OA00731600
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.
321 ORANGE RD, Montclair, NJ 07042

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

Dr. Mariam Hessen 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 ID7113454786
PECOS Enrollment IDI20241219004037
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mariam Hessen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
319 ORANGE RD
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
Optometrist
127 NEWARK AVE
Jersey City, NJ 07302
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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.

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 Mariam Hessen's NPI number?

The NPI number for Mariam Hessen is 1033942354. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Mariam Hessen located?

Mariam Hessen practices at 321 Orange Rd, Montclair, NJ 07042. The listed phone number is (973) 744-6466.

What is Mariam Hessen's specialty?

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

Is Mariam Hessen enrolled in Medicare?

Yes. Mariam Hessen 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 Mariam Hessen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Hessen reassigns Medicare benefits to 2 organizations: Drs Barnes & Carter LLC (Montclair, NJ) and Drs. Savoy & Siegel LLC (Jersey City, NJ). 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 Mariam Hessen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariam Hessen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Oscar Health and Oscar Health Insurance and 6 other insurers list Mariam Hessen 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 Mariam Hessen was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.