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DR. HEATHER MARIE HINSON O.D.
NPI 1073654430
Optometrist in Milwaukee, WI

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment
912 N HAWLEY RD, MILWAUKEE, WI 53213(414) 615-0196(414) 615-0167 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Heather Marie Hinson O.d. NPPES

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

DR. HEATHER MARIE HINSON O.D. (NPI 1073654430) is an individual optometrist in Milwaukee, Wisconsin, licensed in Wisconsin (2259) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1988).

NPPES Registry Identity

NPI1073654430
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HEATHER MARIE HINSONCredential: O.D.
Location Address912 N HAWLEY RDMilwaukee, WI 53213-3222
Mailing Address12032 W Plainfield AveGreenfield, WI 53228-1857 · (414) 543-0627 · Fax (414) 328-8030
Phone(414) 615-0196
Fax(414) 615-0167
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1988
Enumeration DateFebruary 9, 2007
Last NPPES UpdateSeptember 11, 2009
✔ NPI 1073654430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 2259
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.
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 2259 (WI)
912 N HAWLEY RD, Milwaukee, WI 53213
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Other Names 1

Former Name (1)Miss Heather Marie Scheel O.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.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

Dr. Heather Marie Hinson 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 ID6204093941
PECOS Enrollment IDI20120207000746
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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 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.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53213 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 12

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

JODY HAHN OTR
Occupational Therapist
912 N HAWLEY RD
MILWAUKEE, WI 53213
Milwaukee County (414) 615-0100
MRS. LAUREN NELSON OT
Occupational Therapist
912 N HAWLEY RD
MILWAUKEE, WI 53213
Milwaukee County (414) 258-9200
MRS. ROSE MARY VISSER OTR
Occupational Therapist
912 N HAWLEY RD
MILWAUKEE, WI 53213
Milwaukee County (414) 615-0115
JENNA LEIGH ZUBELLA PT, DPT
Physical Therapist
912 N HAWLEY RD
MILWAUKEE, WI 53213
Milwaukee County (414) 405-9750
KATHERINE ROGERS PT
Physical Therapist
912 N HAWLEY RD
MILWAUKEE, WI 53213
Milwaukee County (414) 615-0100
SUSAN VELOZ OTR
Occupational Therapist
912 N HAWLEY RD
MILWAUKEE, WI 53213
Milwaukee County (414) 615-0100
MR. DOUGLAS H MARTENS MSW, CAPSW
Specialist/Technologist (Rehabilitation, Blind)
912 N HAWLEY RD
MILWAUKEE, WI 53213
Milwaukee County (414) 302-2763
KIM MAGGIORI P.T.
Physical Therapist
912 N HAWLEY RD
MILWAUKEE, WI 53213
Milwaukee County (414) 615-0100

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 Heather Hinson's NPI number?

The NPI number for Heather Hinson is 1073654430. It was assigned to this individual provider in the NPPES registry on February 9, 2007. The provider is also known as Miss Heather Marie Scheel O.D..

Where is Heather Hinson located?

Heather Hinson practices at 912 N Hawley Rd, Milwaukee, WI 53213. The listed phone number is (414) 615-0196.

What is Heather Hinson's specialty?

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

Is Heather Hinson enrolled in Medicare?

Yes. Heather Hinson 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 Heather Hinson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Heather Hinson 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 Heather Hinson was last updated on September 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.