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IAN MAISONVILLE
NPI 1497360002
Optometrist in Pelham, AL

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment
73.2/100
CMS Quality Rating
3017 INDIAN CREST DR, PELHAM, AL 35124(205) 529-0557 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2020, Sep 10, 2020 (2 updates tracked since 2020).

About Ian Maisonville NPPES

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

IAN MAISONVILLE (NPI 1497360002) is an individual optometrist in Pelham, Alabama, licensed in Tennessee (3645) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2020).

NPPES Registry Identity

NPI1497360002
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameIAN MAISONVILLE
Location Address3017 INDIAN CREST DRPelham, AL 35124-4701
Mailing Address3017 Indian Crest DrPelham, AL 35124-4701
Phone(205) 529-0557
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2020
Enumeration DateSeptember 10, 2020
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1497360002 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 TN · 3645
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.
3017 INDIAN CREST DR, Pelham, AL 35124
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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

Ian Maisonville 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 ID1456752419
PECOS Enrollment IDI20210628002547
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 Ian Maisonville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Center Of Oak Ridge,pc
231 mi
Ophthalmology
90 VERMONT AVE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 14 clinicians in this Medicare group
NPI 1235201393 (865) 482-8890

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 8

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.
109 services108 patients
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.
64 services50 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
63 services63 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
23 services23 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.
18 services18 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35124 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

73.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.09
Improvement Activities40
Cost29.23

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 Ian Maisonville's NPI number?

The NPI number for Ian Maisonville is 1497360002. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Ian Maisonville located?

Ian Maisonville practices at 3017 Indian Crest Dr, Pelham, AL 35124. The listed phone number is (205) 529-0557.

What is Ian Maisonville's specialty?

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

Is Ian Maisonville enrolled in Medicare?

Yes. Ian Maisonville 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 Ian Maisonville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Maisonville reassigns Medicare benefits to Eye Center Of Oak Ridge,pc (Oak Ridge, TN). 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 Ian Maisonville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ian Maisonville accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Ian Maisonville 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 Ian Maisonville was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.