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MADYSON NICOLE CARRUTHERS OD
NPI 1639854359
Optometrist in Marion, IL

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: November 01, 2026.

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

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 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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Madyson Carruthers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Complete Family Eyecare Of Marion, PC
Same address
Optometrist
3411 OFFICE PARK DR
Marion, IL 62959
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1619621398 (618) 997-5600
Complete Family Eyecare, PC
2.3 mi
Optometrist
3121 S PARK AVE
Herrin, IL 62948
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1104131168 (618) 942-5465

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 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.

Which organizations bill Medicare for Madyson Carruthers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madyson Carruthers reassigns Medicare benefits to 2 organizations: Complete Family Eyecare Of Marion, PC (Marion, IL) and Complete Family Eyecare, PC (Herrin, IL). 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 Madyson Carruthers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madyson Carruthers 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 Oscar Health and 7 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 10 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.