NPPES file of Aug 9, 2026

Jay A. Heilmann, O.D.

Optometrist · Milwaukee, WI

Jay A. Heilmann, O.D. is an optometrist with a practice address in Milwaukee, Wisconsin, and NPI 1932192440, issued on Aug 30, 2005. Check the license (Wisconsin 2430, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1932192440
Name
Jay A. Heilmann
Credential
O.D.
Primary taxonomy
Optometrist 152W00000X
License number
2430 WI
Self-reported in NPPES; status is on the state search
Practice location
1684 N Prospect Ave, Milwaukee, WI 53202
Phone
(414) 271-2020
Enumerated
Aug 30, 2005
Record last updated
Jan 16, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(414) 272-3932
Medicaid ID
38583100 WI
Medicare enrollment
Enrolled (PECOS I20100730000326); accepts Medicare assignment
Medical or professional school
Illinois College Of Optometry At Chicago, 1991
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1684 N Prospect Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Susan Chesshire, M.D.Ophthalmology Physician1336132828
  2. Katharine Denius, ODOptometrist1720715881
  3. Jason Edmonds, M.D.Ophthalmology Physician1689839086
  4. Peter Foote, M.D.Ophthalmology Physician1134112683
  5. Nicholas Frame, M.D.Ophthalmology Physician1457588402
  6. Aviva Gal, M.D.Ophthalmology Physician1851384341

Verify Jay A. Heilmann in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 2430
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.6 times the Medicare Part D claims of the average optometrist in 2024

719 Medicare Part D claims for 268 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D. Brand-name drugs were 44% of claims.

  1. Jay Heilmann719
  2. Specialty average277

Most prescribed

  1. Latanoprost175 claims
  2. Timolol Maleate148 claims
  3. Prednisolone Acetate94 claims
  4. Restasis39 claims
  5. Neomycin-Polymyxin-Dexameth34 claims
  6. Lumigan25 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 91 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $437.51

5 payments; by number, the most common kind was food and beverage; the largest payer was Alcon Vision LLC. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jay Heilmann$437.51
  2. Specialty average$769.99

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Milwaukee Eye Care Associates SCMilwaukee, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jay A. Heilmann among 1,161 optometrist records in Wisconsin

Jay A. Heilmann, O.D. is one of 1,161 optometrist records with a practice address in Wisconsin. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 87% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated1991 · median 2008 among the 752 with a school on file
  • Record last updated2008 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Optometrist providers in Wisconsin

There are 1,161 optometrist records in Wisconsin.

The 8 optometrist records with the nearest ZIP codes

  1. Katharine Denius, ODMilwaukee, WI 532021720715881
  2. Diana Dracopoulos, O.D.Milwaukee, WI 532021639227176
  3. Amy Jankowski, ODMilwaukee, WI 532021174518161
  4. Mark Konyn, O.D.Milwaukee, WI 532021033246111
  5. Charles Ries, O.D.Milwaukee, WI 532021386637817
  6. David Weis, O.D.Milwaukee, WI 532021770576290
  7. Kaelyn Zaporski Cummings, O.D.Milwaukee, WI 532021891925988
  8. Austin Hribar, ODMilwaukee, WI 532031417797655

Common questions

What is Jay A. Heilmann, O.D.'s NPI number?

Jay A. Heilmann, O.D.'s National Provider Identifier (NPI) is 1932192440, issued on Aug 30, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Jay A. Heilmann, O.D. located?

The NPPES record lists a practice address at 1684 N Prospect Ave, Milwaukee, WI, 53202. Phone: (414) 271-2020. Providers update this record themselves, so call before visiting.

How can I verify Jay A. Heilmann, O.D.'s license?

NPPES lists Wisconsin license number 2430, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

How much does Jay A. Heilmann, O.D. prescribe under Medicare Part D?

In 2024, Jay A. Heilmann, O.D. had 719 Medicare Part D claims for 268 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.

What is Jay A. Heilmann, O.D.'s MIPS final score?

The 2023 MIPS final score is 91 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.