DR. BRIAN D HENSON O.D.
NPI 1184782112
Optometrist in Pontiac, IL

Q: What is Brian Henson's NPI number?

The NPI number for Brian Henson is 1184782112. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Brian Henson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Henson was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment

1712 W REYNOLDS ST, PONTIAC, IL 61764(815) 419-2019(815) 419-2021 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Brian D Henson O.d. NPPES

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

DR. BRIAN D HENSON O.D. (NPI 1184782112) is an individual optometrist in Pontiac, Illinois, licensed in Illinois (046-007747) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1984).

NPPES Registry Identity

NPI1184782112

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. BRIAN D HENSONCredential: O.D.

Location Address1712 W REYNOLDS STPontiac, IL 61764-9695

Mailing Address8309 N Knoxville AvePeoria, IL 61615-2170 · (309) 693-9540 · Fax (309) 693-9754

Phone(815) 419-2019

Fax(815) 419-2021

Sole ProprietorNo

Medical School CMSPacific University - College Of OptometryGraduated 1984

Enumeration DateDecember 4, 2006

Last NPPES UpdateJanuary 7, 2014

✔ NPI 1184782112 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 IL · 046-007747

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.

1712 W REYNOLDS ST, Pontiac, IL 61764

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Other Identifiers 2

Medicare PIN579270042IL

Medicare UPINU05387IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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. Brian D Henson 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 ID8325145683

PECOS Enrollment IDI20070521000528

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

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.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61764 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.

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%33 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

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

J A K ENTERPRISES INC

Durable Medical Equipment & Medical Supplies

1712 W REYNOLDS ST
PONTIAC, IL 61764

Livingston County (309) 693-9540

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 Brian Henson's NPI number?

The NPI number for Brian Henson is 1184782112. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Brian Henson located?

Brian Henson practices at 1712 W Reynolds St, Pontiac, IL 61764. The listed phone number is (815) 419-2019.

What is Brian Henson's specialty?

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

Is Brian Henson enrolled in Medicare?

Yes. Brian Henson 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 Brian Henson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Brian Henson 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 Brian Henson was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.