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DR. JEFFREY DONALD HENINGER O.D.
NPI 1881894608
Optometrist in Polson, MT

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
203A RIDGEWATER DR, POLSON, MT 59860(406) 883-4355(406) 883-0702 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jeffrey Donald Heninger O.d. NPPES

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

DR. JEFFREY DONALD HENINGER O.D. (NPI 1881894608) is an individual optometrist in Polson, Montana, licensed in Montana (792) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2007).

NPPES Registry Identity

NPI1881894608
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEFFREY DONALD HENINGERCredential: O.D.
Location Address203A RIDGEWATER DRPolson, MT 59860-8992
Mailing Address203a Ridgewater DrPolson, MT 59860-8992 · (406) 883-4355 · Fax (406) 883-0702
Phone(406) 883-4355
Fax(406) 883-0702
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2007
Enumeration DateJuly 19, 2007
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1881894608 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 MT · 792
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.
203A RIDGEWATER DR, Polson, MT 59860
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Other Identifiers 2

Medicaid193200000XMT
Medicaid193400000XMT

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

Dr. Jeffrey Donald Heninger 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 ID5890887467
PECOS Enrollment IDI20070828000128
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 Jeffrey Heninger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jeffrey D. Heninger, O.D. PLLC
Same address
Optometrist
203A RIDGEWATER DR
Polson, MT 59860
  • Reassigned Medicare billing, Montana enrollment
  • 2 clinicians in this Medicare group
NPI 1831382605 (406) 883-4355

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 10

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
453 services384 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.
315 services186 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.
187 services157 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.
129 services120 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.
118 services108 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).
101 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59860 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

JEFFREY D. HENINGER, O.D. PLLC
Optometrist
203A RIDGEWATER DR
POLSON, MT 59860
Lake County (406) 883-4355
JACOB DILWORTH
Optometrist
203A RIDGEWATER DR
POLSON, MT 59860
Lake County (406) 883-4355

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 Jeffrey Heninger's NPI number?

The NPI number for Jeffrey Heninger is 1881894608. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Jeffrey Heninger located?

Jeffrey Heninger practices at 203A Ridgewater Dr, Polson, MT 59860. The listed phone number is (406) 883-4355.

What is Jeffrey Heninger's specialty?

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

Is Jeffrey Heninger enrolled in Medicare?

Yes. Jeffrey Heninger 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 Jeffrey Heninger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Heninger reassigns Medicare benefits to Jeffrey D. Heninger, O.D. PLLC (Polson, MT). 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 Jeffrey Heninger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Heninger 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 Mountain Health CO-OP and 2 other insurers list Jeffrey Heninger 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 Jeffrey Heninger was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.