MADISON HOENINGHAUSEN OD
NPI 1184558850
Optometrist in Billings, MT

Active since June 09, 2026PECOS EnrolledAccepts Medicare Assignment
1686 SHILOH RD STE 3, BILLINGS, MT 59106(406) 245-2436(406) 281-8805 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madison Hoeninghausen Od NPPES

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

MADISON HOENINGHAUSEN OD (NPI 1184558850) is an individual optometrist in Billings, Montana, licensed in Montana (5907) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2026).

NPPES Registry Identity

NPI1184558850
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMADISON HOENINGHAUSENCredential: OD
Location Address1686 SHILOH RD STE 3Billings, MT 59106-1761
Mailing Address1686 Shiloh Rd Ste 3Billings, MT 59106-1761 · (406) 245-2436 · Fax (406) 281-8805
Fax(406) 281-8805
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2026
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1184558850 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 MT · 5907
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 · PediatricsTaxonomy 152WP0200X · License 5907 (MT)
1686 SHILOH RD STE 3, Billings, MT 59106

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madison Hoeninghausen 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 ID6305319591
PECOS Enrollment IDI20260629002959
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 Hoeninghausen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
1686 SHILOH RD STE 3
Billings, MT 59106
  • Reassigned Medicare billing, Montana enrollment
  • 5 clinicians in this Medicare group
Clinic/Center
1540 LAKE ELMO DR, SUITE 1
Billings, MT 59105
  • Reassigned Medicare billing, Montana enrollment
  • 4 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59106 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 2

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

Optometrist
1686 SHILOH RD STE 3
BILLINGS, MT 59106
Optometrist
1686 SHILOH RD STE 3
BILLINGS, MT 59106

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 Hoeninghausen's NPI number?

The NPI number for Madison Hoeninghausen is 1184558850. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Madison Hoeninghausen located?

Madison Hoeninghausen practices at 1686 Shiloh Rd Ste 3, Billings, MT 59106. The listed phone number is (406) 245-2436.

What is Madison Hoeninghausen's specialty?

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

Is Madison Hoeninghausen enrolled in Medicare?

Yes. Madison Hoeninghausen 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.

Which organizations bill Medicare for Madison Hoeninghausen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Hoeninghausen reassigns Medicare benefits to 2 organizations: Billings Family Eyecare Shiloh PLLC (Billings, MT) and Billings Family Optical PLLC (Billings, MT). 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 Hoeninghausen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Hoeninghausen 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, Mountain Health CO-OP and PacificSource Health Plans and 1 other insurer list Madison Hoeninghausen 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 Hoeninghausen was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.