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DR. JAYSON HEIER O.D.
NPI 1255718003
Optometrist in Madison, WI

Active since April 30, 2015PECOS EnrolledAccepts Medicare Assignment
29 E TOWNE MALL, MADISON, WI 53704(608) 246-0308(608) 246-0423 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jayson Heier O.d. NPPES

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

DR. JAYSON HEIER O.D. (NPI 1255718003) is an individual optometrist in Madison, Wisconsin, licensed in Wisconsin (3406) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2014).

NPPES Registry Identity

NPI1255718003
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAYSON HEIERCredential: O.D.
Location Address29 E TOWNE MALLMadison, WI 53704-3711
Mailing Address29 E Towne MallMadison, WI 53704-3711 · (608) 246-0308 · Fax (608) 246-0423
Phone(608) 246-0308
Fax(608) 246-0423
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2014
Enumeration DateApril 30, 2015
Last NPPES UpdateSeptember 22, 2016
✔ NPI 1255718003 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 WI · 3406
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.
29 E TOWNE MALL, Madison, WI 53704
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Other Identifiers 2

Medicaid598655WI
Medicare PIN1F571ZWI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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 and accepts Medicare assignment

Dr. Jayson Heier 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 ID9436463205
PECOS Enrollment IDI20260612001568
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 Reassignment

Medicare enrollment records show Jayson Heier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Luxottica Of America Inc
369 mi
Optometrist
4000 LUXOTTICA PL, ATTN MEDICARE DEPT
Mason, OH 45040
  • Reassigned Medicare billing, Wisconsin enrollment
  • 21 clinicians in this Medicare group
NPI 1689711046 (513) 765-3534

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 53704 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

MRS. JULIA RUNKEL O.D.
Optometrist
29 E TOWNE MALL
MADISON, WI 53704
Dane County (608) 246-0308
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
29 E TOWNE MALL
MADISON, WI 53704
Dane County (608) 246-0308

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 Jayson Heier's NPI number?

The NPI number for Jayson Heier is 1255718003. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Where is Jayson Heier located?

Jayson Heier practices at 29 E Towne Mall, Madison, WI 53704. The listed phone number is (608) 246-0308.

What is Jayson Heier's specialty?

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

Is Jayson Heier enrolled in Medicare?

Yes. Jayson Heier 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 organization bills Medicare for Jayson Heier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jayson Heier reassigns Medicare benefits to Luxottica Of America Inc (Mason, OH). The 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 Jayson Heier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jayson Heier accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 Jayson Heier 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 Jayson Heier was last updated on September 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.