JACOB DILWORTH
NPI 1902792849
Optometrist in Polson, MT
About Jacob Dilworth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB DILWORTH (NPI 1902792849) is an individual optometrist in Polson, Montana, licensed in Montana (5587) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
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
Jacob Dilworth 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 Jacob Dilworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Polson, MT 59860
- Reassigned Medicare billing, Montana enrollment
- 2 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.
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.
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.
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 Jacob Dilworth's NPI number?
The NPI number for Jacob Dilworth is 1902792849. It was assigned to this individual provider in the NPPES registry on June 17, 2025.
Where is Jacob Dilworth located?
Jacob Dilworth practices at 203A Ridgewater Dr, Polson, MT 59860. The listed phone number is (406) 883-4355.
What is Jacob Dilworth's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jacob Dilworth enrolled in Medicare?
Yes. Jacob Dilworth 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 Jacob Dilworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Dilworth 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 Jacob Dilworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Dilworth accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, PacificSource Health Plans and Providence Health Plan list Jacob Dilworth 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 Jacob Dilworth was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jacob Dilworth · NPI 1902792849
Optometrist provider in Polson, Montana. Individual provider, active in the CMS NPPES registry since June 17, 2025.
## Identity
- **NPI:** 1902792849 (Entity type: Individual)
- **Enumerated:** June 17, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5587 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 203A RIDGEWATER DR, Polson, MT 59860-8992
- **Phone:** (406) 883-4355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Jeffrey D. Heninger, O.D. PLLC (NPI 1831382605, Polson, MT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902792849) · Data from the CMS NPPES public registry.