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DR. HEIDI THODEN OD
NPI 1295754299
Optometrist in Tahlequah, OK

Active since July 19, 2006PECOS Enrolled
78.75/100
CMS Quality Rating
1001 N GRAND AVE, TAHLEQUAH, OK 74464(918) 458-2109(918) 458-2310 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Heidi Thoden Od NPPES

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

DR. HEIDI THODEN OD (NPI 1295754299) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (2207) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295754299
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HEIDI THODENCredential: OD
Location Address1001 N GRAND AVETahlequah, OK 74464-7017
Mailing Address1001 N Grand AveTahlequah, OK 74464-7017 · (918) 456-5511
Phone(918) 458-2109
Fax(918) 458-2310
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 4, 2008
✔ NPI 1295754299 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 OK · 2207
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.
1001 N GRAND AVE, Tahlequah, OK 74464
Open in Google Maps ↗

Other Identifiers 3

Medicaid100767360AOK
Medicare UPINU62027
Medicare PIN246721803OK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Heidi Thoden Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Heidi Thoden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeastern State University College Of Optometry
Same address
Optometrist
1001 N GRAND AVE
Tahlequah, OK 74464
  • Reassigned Medicare billing, Oklahoma enrollment
  • 96 clinicians in this Medicare group
NPI 1437106333 (918) 458-2109
Cherokee Nation
1.6 mi
General Acute Care Hospital
19780 E. ROSS STREET
Tahlequah, OK 74464
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1275799645 (539) 355-1000

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 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 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.
282 services181 patients
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.
144 services143 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.
117 services93 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services40 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
36 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.59
Promoting Interoperability98
Improvement Activities40
Cost65.11

Other Providers at the Same Location NPPES 20

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

DR. MICHELE BITHER-MARSHALL OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2109
DR. RODNEY BENDURE OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2109
DR. MEGAN J CHEE O.D.
Optometrist
1001 N GRAND AVE, NSU OKLAHOMA COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4031
DR. LATRICIA PACK OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 458-2109
DR. LAURA LAI MING CHAN OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4000
HANNAH MUNYAN SIKES OD
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4007
DR. RIYAD KHAMIS O.D
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 822-1299
MR. CEDRICK MAH OD
Optometrist (Low Vision Rehabilitation)
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Cherokee County (918) 444-4000

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 Heidi Thoden's NPI number?

The NPI number for Heidi Thoden is 1295754299. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Heidi Thoden located?

Heidi Thoden practices at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 458-2109.

What is Heidi Thoden's specialty?

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

Is Heidi Thoden enrolled in Medicare?

Yes. Heidi Thoden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heidi Thoden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Thoden reassigns Medicare benefits to 2 organizations: Northeastern State University College Of Optometry (Tahlequah, OK) and Cherokee Nation (Tahlequah, OK). 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 Heidi Thoden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heidi Thoden was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.