DR. ETHAN EVERETT HUISMAN (OD) – Optometrist, NPI 1891776365
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
503 OPTOMETRY in IA
Loading map...
Provider Addresses for DR. ETHAN EVERETT HUISMAN (OD)
1350 SE UNIVERSITY AVE
WAUKEE, IA 502638933
Phone: (515) 987-3937
Fax: (515) 987-3930
Type: Mailing
University Avenue, West Des Moines, Polk County, Iowa, 50398, United States
WEST DES MOINES, IA 502661644
Phone: (515) 987-3937
Fax: (515) 987-3930
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 95 Open Payments records for all available years, with a total value of $35,995.
Total Amount is formed as General ($35,995) + Research ($0) + Ownership ($0) = $35,995.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: CooperVision Inc. ($35,074).
Total Amount
$35,995
General + Research + Ownership
Payments
95
Total payment records
General Amount
$35,995
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $35,074 |
| Alcon Vision LLC | $645 |
| Tarsus Pharmaceuticals, Inc. | $121 |
| Horizon Therapeutics plc | $88 |
| Dompe US, Inc. | $27 |
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: 2004-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040616000149 | I | Optometry | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 104 | 104 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 53 | $0 |
| 92083 | Exam of visual field with extended testing | 36 | 28 | $0 |
| 92133 | Imaging of optic nerve | 29 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 21 | $0 |
Insurance plans in this area (ZIP 50263)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | TX | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IN | |
| O P T O M E T R Y | IA | |
| O P T O M E T R Y | IA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.