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ERICA PERLMAN - HENSEN O.D.
NPI 1063865590
Optometrist in Big Sky, MT

Active since July 20, 2016PECOS EnrolledAccepts Medicare Assignment
99 TOWN CENTER AVE, UNIT #A6, BIG SKY, MT 59716(406) 414-0006(406) 414-0004 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erica Perlman - Hensen O.d. NPPES

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

ERICA PERLMAN - HENSEN O.D. (NPI 1063865590) is an individual optometrist in Big Sky, Montana, licensed in Montana (3390) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chino, and is a graduate of University Of California - School Of Optometry (2016).

NPPES Registry Identity

NPI1063865590
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameERICA PERLMAN - HENSENCredential: O.D.
Location Address99 TOWN CENTER AVE, UNIT #A6Big Sky, MT 59716-0700
Mailing Address99 Town Center Ave, Unit #a6, P.o. Box # 160700Big Sky, MT 59716-0700 · (406) 414-0006
Phone(406) 414-0006
Fax(406) 414-0004
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2016
Enumeration DateJuly 20, 2016
Last NPPES UpdateSeptember 26, 2019
✔ NPI 1063865590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MT · 3390✔ Licensed in CA · 33544
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.

Secondary Practice Location 1

Location 15385 Walnut Ave Ste 2Chino, CA 91710-2605 · Phone (909) 627-8523

Other Identifiers 1

Medicaid1063865590MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Erica Perlman - Hensen 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 ID7517251333
PECOS Enrollment IDI20191210001590
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.

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.
51 services43 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.
30 services28 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.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59716 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BIG SKY EYES PC
Optometrist
99 TOWN CENTER AVE, UNIT #A6
BIG SKY, MT 59716
Gallatin County (406) 414-0006

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 Erica Perlman - Hensen's NPI number?

The NPI number for Erica Perlman - Hensen is 1063865590. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is Erica Perlman - Hensen located?

Erica Perlman - Hensen practices at 99 Town Center Ave, Unit #a6, Big Sky, MT 59716. The listed phone number is (406) 414-0006.

What is Erica Perlman - Hensen's specialty?

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

Is Erica Perlman - Hensen enrolled in Medicare?

Yes. Erica Perlman - Hensen 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 Erica Perlman - Hensen 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, BlueCross BlueShield of Tennessee and Mountain Health CO-OP and 1 other insurer list Erica Perlman - Hensen 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 Erica Perlman - Hensen was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.