DR. MADISON JO WITTHOFT (OD) – Optometrist, NPI 1144890914

DR. MADISON JO WITTHOFT (OD) is a healthcare provider. based in Carbondale, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046011977 (IL). The NPI Number for DR. MADISON JO WITTHOFT (OD) is 1144890914

Main info

Female
5 Years Of Experience
Name
DR. MADISON JO WITTHOFT (OD)
NPI
1144890914
Phone
(618) 549-2282
Address
1001 N Beadle Dr
Enumeration Date
24 June 2021
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
8128494555
Graduation Year
2021 (5 years ago)
PAC ID
2769886696
Group Practice PAC ID
7113081258
Professional Enrollment ID
I20210813002014
Address ID
IN474015517BL415XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. MADISON JO WITTHOFT (OD)

  • 1001 N Beadle Dr

    Carbondale, IL 629011054

    Phone: (618) 549-2282

    Fax: (618) 549-6017

    Type: Location

  • 821 S Washington St

    Du Quoin, IL 628321909

    Phone: (618) 542-3812

    Fax: (618) 542-3953

    Type: Location

  • 203 Van Zant St

    Chester, IL 622331020

    Phone: (618) 826-5413

    Fax: (618) 826-5414

    Type: Location

  • 401 S Walnut St

    Pinckneyville, IL 622741344

    Phone: (618) 357-2020

    Fax: (618) 357-2100

    Type: Location

  • 415 S CLARIZZ BLVD

    BLOOMINGTON, IN 474015517

    Phone:

    Type: Mailing

  • 725 W Main St

    Mitchell, IN 474461414

    Phone: (812) 849-4555

    Type: Location

  • PO BOX 38

    MURPHYSBORO, IL 629660038

    Phone: (618) 993-5686

    Fax: (618) 993-0031

    Type: Mailing

  • 1934 WALNUT ST

    MURPHYSBORO, IL 629661910

    Phone: (618) 565-1406

    Fax: (618) 684-8641

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($47).

Total Amount

$89

General + Research + Ownership

Payments

5

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210813002014IOptometryINTBD
I20260102000031IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system102102$0
99213Established patient office or other outpatient visit, 20-29 minutes6740$0
92250Photography of the retina4242$0
92004New patient complete exam of visual system2727$0
66984Removal of cataract with insertion of prosthetic lens2516$0
View full utilization report →

Insurance plans in this area (ZIP 62901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113081258View full group profile
NameSpecialtyState
O P T O M E T R YIN
O P T O M E T R YIN

Reviews

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Frequently asked questions

Can I verify DR. MADISON JO WITTHOFT (OD) with an NPI only?
You can start verification with NPI 1144890914 for DR. MADISON JO WITTHOFT (OD), then check state licensing separately.
Does CMS list DR. MADISON JO WITTHOFT (OD) as active?
Yes — DR. MADISON JO WITTHOFT (OD) is active in the NPI listing used on this page.
What taxonomy line describes DR. MADISON JO WITTHOFT (OD)?
For research purposes, treat DR. MADISON JO WITTHOFT (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. MADISON JO WITTHOFT (OD) list a practice location?
Patients near Carbondale, Illinois may find DR. MADISON JO WITTHOFT (OD) in results; validate coverage separately.
How many locations tie to this NPI?
9 practice locations appear in the available data.