DR. ETHAN EVERETT HUISMAN OD
NPI 1891776365
Optometrist in Waukee, IA
About Dr. Ethan Everett Huisman Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ETHAN EVERETT HUISMAN OD (NPI 1891776365) is an individual optometrist in Waukee, Iowa, licensed in Iowa (02216) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Ethan Everett Huisman 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.
Medicare Billing Reassignment
Medicare enrollment records show Ethan Huisman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waukee, IA 50263
- Reassigned Medicare billing, Iowa enrollment
- 11 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50263 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
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 Ethan Huisman's NPI number?
The NPI number for Ethan Huisman is 1891776365. It was assigned to this individual provider in the NPPES registry on November 10, 2005.
Where is Ethan Huisman located?
Ethan Huisman practices at 1350 SE University Ave, Waukee, IA 50263. The listed phone number is (515) 987-3937.
What is Ethan Huisman's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Ethan Huisman enrolled in Medicare?
Yes. Ethan Huisman 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 Ethan Huisman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Huisman reassigns Medicare benefits to Elite Eye Care PC (Waukee, IA). 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 Ethan Huisman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Huisman 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 11 other insurers list Ethan Huisman 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 Ethan Huisman was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Ethan Everett Huisman, OD · NPI 1891776365
Optometrist provider in Waukee, Iowa. Individual provider, active in the CMS NPPES registry since November 10, 2005.
## Identity
- **NPI:** 1891776365 (Entity type: Individual)
- **Enumerated:** November 10, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 02216 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 1350 SE UNIVERSITY AVE, Waukee, IA 50263-8933
- **Phone:** (515) 987-3937 · **Fax:** (515) 987-3930
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Elite Eye Care PC (NPI 1700103850, Waukee, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2001
## Record status
- **NPPES last updated:** November 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1891776365) · Data from the CMS NPPES public registry.