Active NPI 1205255486 Individual Practitioner Male Practitioner

Dr. Robert James Simons , OD

Optometrist • Helena, MT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Simons, OD is a certified Optometrist practicing in Helena, MT. With approximately 13 years of clinical experience since graduating from Southern California College Of Optometry in 2013, Dr. Simons delivers high-quality medical care to the local community at 550 N MONTANA AVE.

Dr. Simons is affiliated with Montana Eyecare Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

550 N Montana Ave

Helena, MT 596013815

Telephone 4064432121

Fax 4064434163

Associated Practice Facility / Clinic

🏢 Montana Eyecare Llp Facility NPI 1629020722

Medicare Profile & Education

Medical School

Southern California College Of Optometry

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Helena, MT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -5.1 yrs vs City Avg

City Avg: 18.1 Yrs

State Avg: 21.6 Yrs

Regional Practice Density

18 Specialists

Practicing in Helena, MT (258 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simons (13 Years) 13 Yrs

Helena Specialty Average (18.1 Years) 18.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	258	257	$199.00	$123.45
99213 Established patient office or other outpatient visit, typically 15 minutes	225	128	$143.00	$89.02
92134 Imaging of retina	114	99	$64.00	$39.47
66984 Removal of cataract with insertion of lens	71	39	$300.00	$105.29
92083 Exam of visual field with extended testing	62	36	$99.00	$62.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	47	$202.00	$125.86
92133 Imaging of optic nerve	55	37	$58.00	$33.54
92250 Photography of the retina	25	25	$58.00	$36.15
66821 Removal of recurring cataract in lens capsule using a laser	20	20	$165.00	$81.95
68761 Closure of tear duct opening using plug	18	14	$466.94	$205.60
92004 New patient complete exam of visual system	17	17	$234.00	$146.55
92012 Established patient problem focused exam of visual system	12	12	$141.00	$87.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$177.00	$109.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	216	216	$199.00	$121.26
99213 Established patient office or other outpatient visit, typically 15 minutes	208	125	$143.00	$85.50
92134 Imaging of retina	68	61	$64.00	$38.38
92250 Photography of the retina	63	57	$58.00	$36.03
66984 Removal of cataract with insertion of lens	57	36	$300.00	$100.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	42	$202.00	$122.63
92133 Imaging of optic nerve	45	34	$58.00	$34.12
92083 Exam of visual field with extended testing	33	29	$99.00	$60.35
92004 New patient complete exam of visual system	23	23	$234.00	$145.27
66821 Removal of recurring cataract in lens capsule using a laser	22	22	$177.27	$89.15
92012 Established patient problem focused exam of visual system	18	18	$141.00	$85.95
68761 Closure of tear duct opening using plug	18	15	$402.00	$191.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	227	225	$150.40	$123.76
99213 Established patient office or other outpatient visit, typically 15 minutes	161	115	$113.43	$88.27
66984 Removal of cataract with insertion of lens	77	44	$311.95	$103.07
92134 Imaging of retina	71	64	$77.52	$39.39
92133 Imaging of optic nerve	42	31	$74.76	$34.85
92083 Exam of visual field with extended testing	41	33	$99.80	$61.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	31	$171.35	$125.29
92004 New patient complete exam of visual system	34	34	$175.15	$142.81
92250 Photography of the retina	31	26	$98.26	$35.46
92012 Established patient problem focused exam of visual system	19	18	$123.32	$86.99
66821 Removal of recurring cataract in lens capsule using a laser	15	15	$192.73	$88.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$162.62	$110.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	212	211	$140.00	$127.88
99213 Established patient office or other outpatient visit, typically 15 minutes	148	99	$109.00	$92.39
66984 Removal of cataract with insertion of lens	94	56	$270.00	$108.81
92134 Imaging of retina	84	77	$80.00	$41.32
92012 Established patient problem focused exam of visual system	60	50	$120.00	$89.52
92004 New patient complete exam of visual system	46	46	$165.00	$152.44
92133 Imaging of optic nerve	45	32	$80.00	$36.56
92083 Exam of visual field with extended testing	41	32	$100.00	$64.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$160.00	$131.09
92250 Photography of the retina	19	17	$110.00	$39.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	165	164	$138.06	$127.96
99213 Established patient office or other outpatient visit, typically 15 minutes	125	84	$105.40	$76.52
92134 Imaging of retina	70	61	$80.00	$41.51
66984 Removal of cataract with insertion of lens	48	27	$270.00	$112.25
92004 New patient complete exam of visual system	42	42	$162.62	$153.01
92250 Photography of the retina	35	35	$110.00	$45.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$155.76	$111.15
92012 Established patient problem focused exam of visual system	28	28	$117.50	$87.94
92133 Imaging of optic nerve	25	23	$80.00	$37.67
92083 Exam of visual field with extended testing	23	19	$100.00	$64.16
66821 Removal of recurring cataract in lens capsule using a laser	17	17	$101.65	$78.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$154.55	$110.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	168	168	$130.00	$128.46
99213 Established patient office or other outpatient visit, typically 15 minutes	130	97	$99.00	$75.47
92134 Imaging of retina	76	69	$80.00	$41.25
66984 Removal of cataract with insertion of lens	68	43	$270.00	$127.78
92004 New patient complete exam of visual system	38	38	$155.00	$153.22
92133 Imaging of optic nerve	30	29	$80.00	$36.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$150.00	$108.08
92012 Established patient problem focused exam of visual system	26	26	$110.00	$87.52
92083 Exam of visual field with extended testing	20	20	$100.00	$64.78
92250 Photography of the retina	17	17	$110.00	$50.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$150.00	$111.89
66821 Removal of recurring cataract in lens capsule using a laser	16	16	$135.00	$97.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	135	135	$130.00	$127.48
99213 Established patient office or other outpatient visit, typically 15 minutes	108	75	$99.00	$74.69
92134 Imaging of retina	66	59	$80.00	$40.94
66984 Removal of cataract with insertion of lens	62	45	$270.00	$130.24
92012 Established patient problem focused exam of visual system	55	48	$110.00	$89.10
92004 New patient complete exam of visual system	44	44	$155.00	$152.99
92133 Imaging of optic nerve	26	20	$80.00	$36.47
92083 Exam of visual field with extended testing	25	20	$100.00	$64.97
92250 Photography of the retina	14	13	$110.00	$57.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$150.00	$109.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	109	109	$125.18	$115.83
99213 Established patient office or other outpatient visit, typically 15 minutes	87	62	$95.90	$71.36
92134 Imaging of retina	79	61	$82.53	$39.35
92012 Established patient problem focused exam of visual system	71	50	$106.34	$82.17
92004 New patient complete exam of visual system	58	58	$146.38	$137.65
66984 Removal of cataract with insertion of lens	53	33	$270.00	$125.31
92083 Exam of visual field with extended testing	25	21	$97.60	$61.88
92133 Imaging of optic nerve	24	22	$81.67	$34.01
68761 Closure of tear duct opening using plug	17	11	$351.76	$198.14
92250 Photography of the retina	16	15	$102.50	$61.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$143.64	$106.38

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MT 1929

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Montana Eyecare Llp

550 N Montana Ave, Helena, MT 596013815

Phone: 4064432121

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Marcus Kelley , OD

Optometrist

NPI 1184675092

Doctor of Optometry

Dr. Kyle Hayter , OD

Optometrist

NPI 1619863487

Doctor of Optometry

Dr. William Simons , OD

Optometrist

NPI 1699726778

Doctor of Optometry

Dr. William Hasquet , OD

Optometrist

NPI 1730139577

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2014

Registered at 550 N MONTANA AVE, HELENA, MT 596013815 (Tel: 4064432121)

📍

Updated Business Mailing Address April 15, 2014

Registered at 550 N MONTANA AVE, HELENA, MT 596013815 (Tel: 4064432121)

👤

Provider Name / Credentials Updated April 15, 2014

Recorded as ROBERT SIMONS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Optometrist (License #1929 in MT)

🟢

Initial NPI Registration & Enumeration April 15, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205255486

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 15, 2014

Last Update: April 15, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

550 N Montana Ave

Helena, MT 596013815

Phone: 4064432121

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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