MADYSON NICOLE CARRUTHERS OD
NPI 1639854359
Optometrist in Marion, IL

Q: What is Madyson Carruthers's NPI number?

The NPI number for Madyson Carruthers is 1639854359. It was assigned to this individual provider in the NPPES registry on June 20, 2023. The provider is also known as Madyson Nicole Locke Od.

Q: What is Madyson Carruthers's specialty?

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

Active since June 20, 2023PECOS EnrolledAccepts Medicare Assignment

3411 OFFICE PARK DR, MARION, IL 62959(618) 203-9162 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2026, Sep 30, 2024, Jun 20, 2023 (3 updates tracked since 2023).

On this page

About Madyson Nicole Carruthers Od NPPES

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

MADYSON NICOLE CARRUTHERS OD (NPI 1639854359) is an individual optometrist in Marion, Illinois, licensed in Illinois (046.011820) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2023).

NPPES Registry Identity

NPI1639854359

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMADYSON NICOLE CARRUTHERSCredential: OD

Location Address3411 OFFICE PARK DRMarion, IL 62959-6478

Mailing Address3411 Office Park DrMarion, IL 62959-6478 · (618) 203-9162

Phone(618) 203-9162

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2023

Enumeration DateJune 20, 2023

Last NPPES UpdateJanuary 6, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1639854359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in IL · 046.011820✔ Licensed in MO · 2023023886

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.

3411 OFFICE PARK DR, Marion, IL 62959

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Other Names 1

Former Name (1)Madyson Nicole Locke Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Madyson Nicole Carruthers 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 ID4486091972

PECOS Enrollment IDI20240320000119

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.

Areas of Expertise CMS Part B claims 6

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.

95 services95 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.

55 services46 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.

43 services43 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.

41 services41 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

31 services31 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).

26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

DR. JOHN DAVID POWER O.D.

Optometrist

3411 OFFICE PARK DR
MARION, IL 62959

Williamson County (618) 997-5600

COMPLETE FAMILY EYECARE OF MARION, PC

Optometrist

3411 OFFICE PARK DR
MARION, IL 62959

Williamson County (618) 997-5600

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 Madyson Carruthers's NPI number?

The NPI number for Madyson Carruthers is 1639854359. It was assigned to this individual provider in the NPPES registry on June 20, 2023. The provider is also known as Madyson Nicole Locke Od.

Where is Madyson Carruthers located?

Madyson Carruthers practices at 3411 Office Park Dr, Marion, IL 62959. The listed phone number is (618) 203-9162.

What is Madyson Carruthers's specialty?

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

Is Madyson Carruthers enrolled in Medicare?

Yes. Madyson Carruthers 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 Madyson Carruthers accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 9 other insurers list Madyson Carruthers 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 Madyson Carruthers was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.