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DR. MADISON JO WITTHOFT OD
NPI 1144890914
Optometrist in Murphysboro, IL

Active since June 24, 2021PECOS Enrolled
72.38/100
CMS Quality Rating
1934 WALNUT ST, MURPHYSBORO, IL 62966(618) 565-1406(618) 684-8641 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2026, Jul 1, 2021, Jun 24, 2021 (3 updates tracked since 2021).

About Dr. Madison Jo Witthoft Od NPPES

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

DR. MADISON JO WITTHOFT OD (NPI 1144890914) is an individual optometrist in Murphysboro, Illinois, licensed in Illinois (046011977) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Indiana University - School Of Optometry (2021).

NPPES Registry Identity

NPI1144890914
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MADISON JO WITTHOFTCredential: OD
Location Address1934 WALNUT STMurphysboro, IL 62966-1910
Mailing AddressPo Box 38Murphysboro, IL 62966-0038 · (618) 993-5686 · Fax (618) 993-0031
Phone(618) 565-1406
Fax(618) 684-8641
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2021
Enumeration DateJune 24, 2021
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1144890914 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 IL · 046011977✔ Licensed in IN · 18004276A
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.
1934 WALNUT ST, Murphysboro, IL 62966
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1203 Van Zant StChester, IL 62233-1020 · Phone (618) 826-5413 · Fax (618) 826-5414
Location 21001 N Beadle DrCarbondale, IL 62901-1054 · Phone (618) 549-2282 · Fax (618) 549-6017
Location 3401 S Walnut StPinckneyville, IL 62274-1344 · Phone (618) 357-2020 · Fax (618) 357-2100
Location 4821 S Washington StDu Quoin, IL 62832-1909 · Phone (618) 542-3812 · Fax (618) 542-3953

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Madison Jo Witthoft Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769886696
PECOS Enrollment IDI20210813002014, I20260102000031
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 Madison Witthoft reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marion Eye Centers Ltd.
24 mi
Ophthalmology
1200 W DEYOUNG ST
Marion, IL 62959
  • Reassigned Medicare billing, Illinois enrollment
  • 33 clinicians in this Medicare group
NPI 1508865643 (618) 993-5686
Insights Optical, Inc.
182 mi
Optometrist
415 S CLARIZZ BLVD
Bloomington, IN 47401
  • Reassigned Medicare billing, Indiana enrollment
  • 3 clinicians in this Medicare group
NPI 1730204785 (812) 333-1911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
94 services93 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.
50 services41 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.
27 services26 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
25 services13 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.
24 services24 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.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62966 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

72.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.15
Promoting Interoperability92
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
99%200 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
77%78 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
94%1,743 patients4/55-star benchmark: 100%
e-Prescribing
100%363 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
76%33 patients
Provide Patients Electronic Access to Their Health Information
97%1,888 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 375 patients
Patients totalRate: 0% · 375 patients
0%375 patients5/55-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.

Other Providers at the Same Location NPPES 2

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

MARION EYE CENTERS LTD.
Durable Medical Equipment & Medical Supplies
1934 WALNUT ST
MURPHYSBORO, IL 62966
Jackson County (618) 565-1405
DR. MICHAEL KALAHER O.D.
Optometrist
1934 WALNUT ST
MURPHYSBORO, IL 62966
Jackson County (618) 565-1406

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 Madison Witthoft's NPI number?

The NPI number for Madison Witthoft is 1144890914. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Madison Witthoft located?

Madison Witthoft practices at 1934 Walnut St, Murphysboro, IL 62966. The listed phone number is (618) 565-1406.

What is Madison Witthoft's specialty?

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

Is Madison Witthoft enrolled in Medicare?

Yes. Madison Witthoft is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Madison Witthoft's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Witthoft reassigns Medicare benefits to 2 organizations: Marion Eye Centers Ltd. (Marion, IL) and Insights Optical, Inc. (Bloomington, IN). 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 Madison Witthoft's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Witthoft accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 13 other insurers list Madison Witthoft 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 Madison Witthoft was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.