DR. JACOB HEFFELFINGER OD
NPI 1477346302
Optometrist in Waunakee, WI

Active since May 23, 2025PECOS EnrolledAccepts Medicare Assignment
330 N CENTURY AVE, WAUNAKEE, WI 53597(815) 499-0402 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacob Heffelfinger Od NPPES

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

DR. JACOB HEFFELFINGER OD (NPI 1477346302) is an individual optometrist in Waunakee, Wisconsin, licensed in Wisconsin (4090-35) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1477346302
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACOB HEFFELFINGERCredential: OD
Location Address330 N CENTURY AVEWaunakee, WI 53597-1147
Mailing Address330 N Century AveWaunakee, WI 53597-1147 · (815) 499-0402
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 23, 2025
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1477346302 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 WI · 4090-35
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.

330 N CENTURY AVE, Waunakee, WI 53597

Accepted 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. Jacob Heffelfinger 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 ID547766933
PECOS Enrollment IDI20251003002484
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53597 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.

Optometrist
330 N CENTURY AVE
WAUNAKEE, WI 53597
Optometrist (Corneal and Contact Management)
330 N CENTURY AVE
WAUNAKEE, WI 53597

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 Jacob Heffelfinger's NPI number?

The NPI number for Jacob Heffelfinger is 1477346302. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Jacob Heffelfinger located?

Jacob Heffelfinger practices at 330 N Century Ave, Waunakee, WI 53597. The listed phone number is (815) 499-0402.

What is Jacob Heffelfinger's specialty?

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

Is Jacob Heffelfinger enrolled in Medicare?

Yes. Jacob Heffelfinger 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 Jacob Heffelfinger 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, Group Health Cooperative-SCW and Providence Health Plan and 1 other insurer list Jacob Heffelfinger 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 Jacob Heffelfinger was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.