Active NPI 1699726778 Individual Practitioner Male Practitioner

Dr. William Howard Simons , OD

Optometrist • Helena, MT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Simons, OD is a certified Optometrist practicing in Helena, MT. With approximately 44 years of clinical experience since graduating from Southern California College Of Optometry in 1982, 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 optic nerve. 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

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Helena, MT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +25.9 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

47.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simons (44 Years) 44 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	605	599	$199.00	$121.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	206	115	$89.00	$54.74
99213 Established patient office or other outpatient visit, typically 15 minutes	204	165	$143.00	$88.09
92133 Imaging of optic nerve	117	114	$58.00	$35.09
92134 Imaging of retina	115	91	$64.00	$39.01
66984 Removal of cataract with insertion of lens	114	65	$299.44	$103.34
92083 Exam of visual field with extended testing	104	99	$99.00	$61.27
66821 Removal of recurring cataract in lens capsule using a laser	52	52	$180.77	$89.08
92250 Photography of the retina	27	27	$58.00	$35.86
68761 Closure of tear duct opening using plug	20	13	$455.30	$207.08
92004 New patient complete exam of visual system	17	17	$234.00	$144.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	523	517	$199.00	$125.10
99213 Established patient office or other outpatient visit, typically 15 minutes	199	160	$143.00	$89.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	90	$89.00	$56.05
92133 Imaging of optic nerve	132	126	$58.00	$36.25
92134 Imaging of retina	101	90	$64.00	$39.94
66984 Removal of cataract with insertion of lens	99	59	$300.00	$106.55
92083 Exam of visual field with extended testing	99	90	$99.00	$62.09
92250 Photography of the retina	41	38	$58.00	$37.09
66821 Removal of recurring cataract in lens capsule using a laser	38	38	$181.58	$96.12
92004 New patient complete exam of visual system	17	17	$234.00	$148.73
68761 Closure of tear duct opening using plug	16	11	$467.00	$217.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	490	487	$150.96	$127.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	194	100	$76.59	$56.85
99213 Established patient office or other outpatient visit, typically 15 minutes	181	158	$114.82	$91.13
92133 Imaging of optic nerve	117	115	$75.49	$36.82
92083 Exam of visual field with extended testing	100	95	$99.82	$63.10
92134 Imaging of retina	90	88	$76.98	$40.44
66984 Removal of cataract with insertion of lens	87	52	$355.82	$107.75
92250 Photography of the retina	44	38	$104.09	$37.37
66821 Removal of recurring cataract in lens capsule using a laser	38	37	$218.89	$91.25
92004 New patient complete exam of visual system	24	24	$170.75	$150.74
68761 Closure of tear duct opening using plug	16	11	$400.06	$218.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	512	509	$140.00	$128.12
99213 Established patient office or other outpatient visit, typically 15 minutes	262	192	$109.00	$91.88
92133 Imaging of optic nerve	134	130	$80.00	$37.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	73	$75.00	$56.84
92083 Exam of visual field with extended testing	120	113	$100.00	$64.19
66984 Removal of cataract with insertion of lens	109	61	$270.00	$108.10
92134 Imaging of retina	102	87	$80.00	$41.32
92250 Photography of the retina	52	51	$110.00	$39.76
66821 Removal of recurring cataract in lens capsule using a laser	43	42	$123.91	$92.32
92004 New patient complete exam of visual system	27	27	$165.00	$152.44
92012 Established patient problem focused exam of visual system	17	17	$120.00	$91.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	498	496	$137.65	$128.33
99213 Established patient office or other outpatient visit, typically 15 minutes	178	155	$107.09	$76.57
66984 Removal of cataract with insertion of lens	144	80	$270.00	$112.51
92133 Imaging of optic nerve	130	125	$80.00	$37.78
92083 Exam of visual field with extended testing	122	117	$100.00	$63.87
92134 Imaging of retina	100	90	$80.00	$41.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	67	$75.00	$46.25
92004 New patient complete exam of visual system	40	40	$163.00	$153.03
66821 Removal of recurring cataract in lens capsule using a laser	36	36	$130.00	$95.62
92250 Photography of the retina	30	30	$110.00	$46.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	548	544	$130.00	$127.93
99213 Established patient office or other outpatient visit, typically 15 minutes	171	140	$99.00	$75.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	65	$75.00	$45.86
92133 Imaging of optic nerve	122	118	$80.00	$37.47
92134 Imaging of retina	108	97	$80.00	$41.45
66984 Removal of cataract with insertion of lens	98	58	$270.00	$130.81
92083 Exam of visual field with extended testing	86	82	$100.00	$64.81
92004 New patient complete exam of visual system	38	38	$155.00	$153.14
92250 Photography of the retina	37	35	$110.00	$51.11
66821 Removal of recurring cataract in lens capsule using a laser	25	25	$118.08	$89.79
92012 Established patient problem focused exam of visual system	20	16	$110.00	$81.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	538	538	$130.00	$125.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	154	62	$75.00	$43.69
99213 Established patient office or other outpatient visit, typically 15 minutes	131	104	$99.00	$73.17
92133 Imaging of optic nerve	128	122	$80.00	$37.21
92083 Exam of visual field with extended testing	95	90	$100.00	$63.67
66984 Removal of cataract with insertion of lens	90	53	$270.00	$129.09
92134 Imaging of retina	89	82	$80.00	$41.39
92250 Photography of the retina	40	40	$110.00	$56.56
92004 New patient complete exam of visual system	39	39	$155.00	$150.01
92012 Established patient problem focused exam of visual system	22	20	$110.00	$87.22
66821 Removal of recurring cataract in lens capsule using a laser	13	13	$110.77	$84.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	423	422	$123.30	$114.01
99213 Established patient office or other outpatient visit, typically 15 minutes	196	111	$96.24	$71.32
92134 Imaging of retina	159	99	$81.89	$38.59
92133 Imaging of optic nerve	105	102	$84.00	$35.25
66984 Removal of cataract with insertion of lens	91	53	$270.00	$122.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	56	$74.88	$42.60
92083 Exam of visual field with extended testing	71	65	$97.32	$62.39
92250 Photography of the retina	65	63	$103.54	$63.96
92012 Established patient problem focused exam of visual system	43	39	$103.95	$83.22
92004 New patient complete exam of visual system	32	32	$139.38	$131.59
66821 Removal of recurring cataract in lens capsule using a laser	21	20	$120.00	$82.48

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MT 481

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0481533 (MT)

Commercial Insurance / Payer ID Blue Cross & Blue Shield

26890 (MT)

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. Robert Simons , OD

Optometrist

NPI 1205255486

Doctor of Optometry

Dr. Kyle Hayter , OD

Optometrist

NPI 1619863487

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 January 24, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2011

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

📍

Updated Business Mailing Address January 24, 2011

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

👤

Provider Name / Credentials Updated January 24, 2011

Recorded as WILLIAM SIMONS, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2011

Optometrist (License #481 in MT)

🟢

Initial NPI Registration & Enumeration May 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699726778

Entity Type:

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

Enumeration Date: May 13, 2006

Last Update: January 24, 2011

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).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.