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MATTHEW HENNEN O.D.
NPI 1639527708
Optometrist in West St Paul, MN

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
1540 HUMBOLDT AVE, SUITE 201, WEST ST PAUL, MN 55118(651) 457-2020 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew Hennen O.d. NPPES

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

MATTHEW HENNEN O.D. (NPI 1639527708) is an individual optometrist in West St Paul, Minnesota, licensed in Minnesota (3467) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2016).

NPPES Registry Identity

NPI1639527708
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMATTHEW HENNENCredential: O.D.
Location Address1540 HUMBOLDT AVE, SUITE 201West St Paul, MN 55118-3417
Mailing Address1540 Humboldt Ave, Suite 201West St Paul, MN 55118-3417 · (651) 457-2020
Phone(651) 457-2020
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2016
Enumeration DateMay 31, 2016
✔ NPI 1639527708 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 MN · 3467
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.
1540 HUMBOLDT AVE, West St Paul, MN 55118
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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 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

Matthew Hennen 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 ID1951696434
PECOS Enrollment IDI20160823001431
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 Matthew Hennen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dakota Optometric Eye Care Associates, P.A.
Same address
Optometrist
1540 HUMBOLDT AVE, SUITE 201
Saint Paul, MN 55118
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1598773780 (651) 457-2020
Mjh LLC
16 mi
Optometrist
1903 GREELEY ST S
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1558723411 (651) 439-4265

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 7

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.
139 services139 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).
49 services44 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.
39 services30 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.
28 services26 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.
22 services20 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.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55118 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 5

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

DR. LAURA L FLOCKENCIER O.D.
Optometrist
1540 HUMBOLDT AVE
WEST ST PAUL, MN 55118
Dakota County (651) 457-2020
DR. MARK HENNEN OD
Optometrist
1540 HUMBOLDT AVE
SAINT PAUL, MN 55118
Dakota County (651) 457-2020
RACHEL ANN HENNEN OD
Optometrist
1540 HUMBOLDT AVE
WEST SAINT PAUL, MN 55118
Dakota County (651) 457-2020
DR. THOMAS ARTHUR VOGELPOHL O.D.
Optometrist
1540 HUMBOLDT AVE
SAINT PAUL, MN 55118
Dakota County (651) 457-2020
DAKOTA OPTOMETRIC EYE CARE ASSOCIATES, P.A.
Optometrist
1540 HUMBOLDT AVE, SUITE 201
SAINT PAUL, MN 55118
Dakota County (651) 457-2020

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 Matthew Hennen's NPI number?

The NPI number for Matthew Hennen is 1639527708. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Matthew Hennen located?

Matthew Hennen practices at 1540 Humboldt Ave Suite 201, West St Paul, MN 55118. The listed phone number is (651) 457-2020.

What is Matthew Hennen's specialty?

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

Is Matthew Hennen enrolled in Medicare?

Yes. Matthew Hennen 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 organizations bill Medicare for Matthew Hennen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Hennen reassigns Medicare benefits to 2 organizations: Dakota Optometric Eye Care Associates, P.A. (Saint Paul, MN) and Mjh LLC (Stillwater, MN). 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 Matthew Hennen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Hennen 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 HealthPartners and 1 other insurer list Matthew Hennen 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 Matthew Hennen was last updated on May 31, 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.