DR. KARMEN M HOLDINGHAUSEN OD
NPI 1124028097
Optometrist in Forest, VA

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
74.95/100
CMS Quality Rating
1825 GRAVES MILL RD, FOREST, VA 24551(434) 385-5600 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2021, Oct 12, 2018, Feb 26, 2018 (3 updates tracked since 2018).

About Dr. Karmen M Holdinghausen Od NPPES

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

DR. KARMEN M HOLDINGHAUSEN OD (NPI 1124028097) is an individual optometrist in Forest, Virginia, licensed in Virginia (0618003082) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains 14 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2003).

NPPES Registry Identity

NPI1124028097
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KARMEN M HOLDINGHAUSENCredential: OD
Location Address1825 GRAVES MILL RDForest, VA 24551-3967
Mailing Address2010 Bremo Rd Ste 128aRichmond, VA 23226-2444 · (877) 969-0392 · Fax (434) 455-7172
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2003
Enumeration DateJuly 21, 2005
Last NPPES UpdateNovember 12, 20213 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
NPI 1124028097 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 VA · 0618003082 Licensed in TN · 2528
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.
1825 GRAVES MILL RD, Forest, VA 24551

Secondary Practice Locations 14

Location 14244 Virginia AveCollinsville, VA 24078-1935 · Phone (276) 647-3766
Location 21835 Graves Mill Rd Ste 2Forest, VA 24551-3967 · Phone (434) 385-5600
Location 3204 Ambriar PlazaAmherst, VA 24521 · Phone (434) 385-5600
Location 41503 Enterprise DrLynchburg, VA 24502-5751 · Phone (434) 385-5600
Location 5191 Old Courthouse RdAppomattox, VA 24522-9853 · Phone (434) 385-5600
Location 62108 Langhorne RdLynchburg, VA 24501-1424
Location 7356 Front StreetLovingston, VA 22949 · Phone (434) 385-5600
Location 82047 Hamilton BlvdSouth Boston, VA 24592-2141 · Phone (434) 572-9733
Location 9521 Webster StSouth Boston, VA 24592-2429 · Phone (434) 572-9500
Location 10800 Memorial DrDanville, VA 24541-1679 · Phone (434) 799-3232
Location 11100 N Virginia StFarmville, VA 23901-1537 · Phone (434) 392-8113
Location 12505 7th StAltavista, VA 24517-1815 · Phone (434) 369-5092
Location 131049 Brookdale St Ste CMartinsville, VA 24112-3972 · Phone (434) 799-3232
Location 14825 Ridge Lake BlvdMemphis, TN 38120-9411 · Phone (901) 685-2200 · Fax (901) 820-2342

Other Identifiers 4

Other4092572TN · Bcbs
Medicaid03051719MS
Medicaid191619722AR
Medicaid3946305TN

Accepted 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. Karmen M Holdinghausen 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 ID3779558267
PECOS Enrollment IDI20211112000641
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 7

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.
473 services427 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
234 services172 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
141 services133 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
134 services119 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
84 services76 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.
52 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24551 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

74.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability93
Improvement Activities40
Cost22.35

Other Providers at the Same Location NPPES 9

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

Optometrist
1825 GRAVES MILL RD
FOREST, VA 24551
Optometrist
1825 GRAVES MILL RD
FOREST, VA 24551
Optometrist
1825 GRAVES MILL RD
FOREST, VA 24551
Ophthalmology
1825 GRAVES MILL RD
FOREST, VA 24551
Eyewear Supplier
1825 GRAVES MILL RD
FOREST, VA 24551
Ophthalmology
1825 GRAVES MILL RD
FOREST, VA 24551
Physician Assistant
1825 GRAVES MILL RD
FOREST, VA 24551
Ophthalmology
1825 GRAVES MILL RD
FOREST, VA 24551

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 Karmen Holdinghausen's NPI number?

The NPI number for Karmen Holdinghausen is 1124028097. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Karmen Holdinghausen located?

Karmen Holdinghausen practices at 1825 Graves Mill Rd, Forest, VA 24551. The listed phone number is (434) 385-5600.

What is Karmen Holdinghausen's specialty?

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

Is Karmen Holdinghausen enrolled in Medicare?

Yes. Karmen Holdinghausen 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 Karmen Holdinghausen accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Karmen Holdinghausen 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 Karmen Holdinghausen was last updated on November 12, 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.