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PATRICIA M HERNACKI O.D.
NPI 1154772572
Optometrist in Helena, MT

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
301 SADDLE DR STE B, HELENA, MT 59601(406) 442-3937(406) 442-3366 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2024, Apr 10, 2024, Jun 19, 2020 and 2 more (5 updates tracked since 2016).

About Patricia M Hernacki O.d. NPPES

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

PATRICIA M HERNACKI O.D. (NPI 1154772572) is an individual optometrist in Helena, Montana, licensed in Montana (4936) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Indiana University - School Of Optometry (2016).

NPPES Registry Identity

NPI1154772572
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NamePATRICIA M HERNACKICredential: O.D.
Location Address301 SADDLE DR STE BHelena, MT 59601-8026
Mailing Address301 Saddle Dr Ste BHelena, MT 59601-8026 · (406) 442-3937 · Fax (406) 442-3366
Phone(406) 442-3937
Fax(406) 442-3366
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateApril 18, 20245 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1154772572 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 MT · 4936
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.
301 SADDLE DR STE B, Helena, MT 59601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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

Patricia M Hernacki 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 ID1850679028
PECOS Enrollment IDI20240212003468
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 10

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.
289 services288 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
174 services101 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.
138 services138 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.
123 services121 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.
91 services91 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.
61 services61 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59601 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.

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 Patricia Hernacki's NPI number?

The NPI number for Patricia Hernacki is 1154772572. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Patricia Hernacki located?

Patricia Hernacki practices at 301 Saddle Dr Ste B, Helena, MT 59601. The listed phone number is (406) 442-3937.

What is Patricia Hernacki's specialty?

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

Is Patricia Hernacki enrolled in Medicare?

Yes. Patricia Hernacki 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 Patricia Hernacki accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Patricia Hernacki 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.

Is Patricia Hernacki affiliated with any hospitals?

According to CMS data, Patricia Hernacki is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Patricia Hernacki was last updated on April 18, 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.