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WILLIAM F HEFNER O.D.
NPI 1316939879
Optometrist in Topeka, KS

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
200 SE 6TH AVE, TOPEKA, KS 66603(785) 235-2374(785) 232-0136 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William F Hefner O.d. NPPES

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

WILLIAM F HEFNER O.D. (NPI 1316939879) is an individual optometrist in Topeka, Kansas, licensed in Kansas (1479-3) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1996).

NPPES Registry Identity

NPI1316939879
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameWILLIAM F HEFNERCredential: O.D.
Location Address200 SE 6TH AVETopeka, KS 66603-3517
Mailing Address200 Se 6th AveTopeka, KS 66603-3517 · (785) 235-2374 · Fax (785) 232-0136
Phone(785) 235-2374
Fax(785) 232-0136
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1996
Enumeration DateAugust 19, 2005
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1316939879 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 KS · 1479-3
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.
200 SE 6TH AVE, Topeka, KS 66603
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Other Identifiers 5

Medicaid100295250AKS
Medicare NSC0827820001KS
Medicare UPINU66052KS
Other410032623KS · Rail Road Medicare
Medicare ID-Type Unspecified052523KS

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 Montana, Blue Cross and Blue Shield of Oklahoma 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

William F Hefner 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 ID8527050772
PECOS Enrollment IDI20170803003935
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 William Hefner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific University
1,446 mi
Optometrist
511 SW 10TH, SUITE 500
Portland, OR 97205
  • Reassigned Medicare billing, Oregon enrollment
  • 51 clinicians in this Medicare group
NPI 1497863104 (503) 352-2500

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 66603 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
40%20 patients2/55-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.

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 William Hefner's NPI number?

The NPI number for William Hefner is 1316939879. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is William Hefner located?

William Hefner practices at 200 SE 6th Ave, Topeka, KS 66603. The listed phone number is (785) 235-2374.

What is William Hefner's specialty?

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

Is William Hefner enrolled in Medicare?

Yes. William Hefner 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 William Hefner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Hefner reassigns Medicare benefits to Pacific University (Portland, OR). 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 William Hefner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Hefner accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 4 other insurers list William Hefner 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 William Hefner was last updated on February 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.