Active NPI 1497989396 Individual Practitioner Male Practitioner

Dr. Marcus Andrew Simonich , OD

Optometrist • Ronan, MT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marcus Simonich, OD is a certified Optometrist practicing in Ronan, MT. With approximately 17 years of clinical experience since graduating from Pacific University - College Of Optometry in 2009, Dr. Simonich delivers high-quality medical care to the local community at 417 MAIN ST SW.

Dr. Simonich is affiliated with Mission Valley Eye Center Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

417 Main St Sw

Ronan, MT 598642738

Telephone 4066763937

Associated Practice Facility / Clinic

🏢 Arnt James Ofstad, P.c. Facility NPI 1083644397

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Ronan, MT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +6.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 21.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Ronan, MT (258 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

25.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simonich (17 Years) 17 Yrs

Ronan Specialty Average (11.0 Years) 11.0 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	438	433	$130.00	$128.13
99213 Established patient office or other outpatient visit, typically 15 minutes	191	125	$88.00	$90.22
92083 Exam of visual field with extended testing	93	70	$120.00	$64.73
92133 Imaging of optic nerve	79	73	$90.00	$36.58
92250 Photography of the retina	60	58	$90.00	$37.49
92134 Imaging of retina	58	46	$78.97	$34.30
92004 New patient complete exam of visual system	45	45	$145.91	$149.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$64.00	$57.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	420	417	$130.00	$125.51
99213 Established patient office or other outpatient visit, typically 15 minutes	230	155	$88.00	$86.80
92133 Imaging of optic nerve	97	83	$80.52	$30.92
92250 Photography of the retina	93	92	$90.00	$37.03
92083 Exam of visual field with extended testing	80	62	$120.00	$62.15
92004 New patient complete exam of visual system	60	60	$144.00	$142.22
92201 Extended exam of the back part of the eye with retinal drawing	52	38	$32.00	$24.39
92134 Imaging of retina	32	28	$77.50	$32.36
67820 Removal of eyelashes using forceps	22	13	$87.92	$19.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	364	361	$130.15	$128.41
99213 Established patient office or other outpatient visit, typically 15 minutes	190	136	$88.00	$88.19
92250 Photography of the retina	109	104	$90.00	$37.59
92083 Exam of visual field with extended testing	94	76	$120.00	$63.77
92133 Imaging of optic nerve	67	55	$82.24	$31.56
92004 New patient complete exam of visual system	62	62	$144.00	$142.50
92201 Extended exam of the back part of the eye with retinal drawing	40	36	$31.90	$24.98
92134 Imaging of retina	19	15	$77.37	$33.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	443	438	$130.03	$129.35
92250 Photography of the retina	248	236	$90.36	$39.99
99213 Established patient office or other outpatient visit, typically 15 minutes	216	157	$88.00	$88.73
92083 Exam of visual field with extended testing	97	75	$120.00	$64.66
92004 New patient complete exam of visual system	81	81	$144.00	$145.34
66984 Removal of cataract with insertion of lens	54	36	$462.96	$109.29
92133 Imaging of optic nerve	54	54	$89.26	$36.82
92134 Imaging of retina	40	34	$85.00	$38.51
92201 Extended exam of the back part of the eye with retinal drawing	36	33	$30.67	$25.37
67820 Removal of eyelashes using forceps	12	11	$98.12	$22.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	341	337	$130.00	$129.41
92250 Photography of the retina	249	230	$90.00	$45.91
99213 Established patient office or other outpatient visit, typically 15 minutes	190	145	$88.00	$77.70
92083 Exam of visual field with extended testing	87	69	$120.00	$65.02
92004 New patient complete exam of visual system	72	72	$144.00	$144.97
92133 Imaging of optic nerve	65	63	$90.00	$37.91
92201 Extended exam of the back part of the eye with retinal drawing	49	41	$31.22	$26.07
66984 Removal of cataract with insertion of lens	45	28	$400.00	$111.30
92134 Imaging of retina	34	29	$84.12	$38.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	457	450	$130.00	$128.98
92250 Photography of the retina	252	240	$90.00	$51.30
99213 Established patient office or other outpatient visit, typically 15 minutes	205	147	$88.00	$76.83
92083 Exam of visual field with extended testing	114	87	$120.00	$65.25
92004 New patient complete exam of visual system	79	79	$144.00	$142.48
92225 Examination of eye by ophthalmoscope with retinal drawing	63	50	$31.08	$28.11
92133 Imaging of optic nerve	58	55	$90.00	$37.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	40	$64.00	$46.32
92134 Imaging of retina	48	31	$78.33	$33.86
66984 Removal of cataract with insertion of lens	46	30	$578.27	$133.00
92226 Examination of eye by ophthalmoscope with retinal drawing	26	19	$22.46	$21.16
67820 Removal of eyelashes using forceps	21	19	$88.10	$33.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$144.00	$112.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$119.00	$113.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	362	358	$125.00	$128.15
92250 Photography of the retina	208	199	$90.00	$59.72
99213 Established patient office or other outpatient visit, typically 15 minutes	161	115	$83.00	$78.15
92083 Exam of visual field with extended testing	87	67	$120.00	$68.22
92133 Imaging of optic nerve	72	70	$89.44	$39.40
92004 New patient complete exam of visual system	71	71	$135.00	$138.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	38	$59.00	$46.91
92225 Examination of eye by ophthalmoscope with retinal drawing	41	36	$57.15	$28.20
66984 Removal of cataract with insertion of lens	37	28	$400.00	$138.62
92134 Imaging of retina	33	23	$75.45	$34.23
67820 Removal of eyelashes using forceps	22	17	$84.10	$41.29
66982 Complex removal of cataract with insertion of prosthetic lens	20	14	$454.00	$170.62
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$95.00	$80.43
92226 Examination of eye by ophthalmoscope with retinal drawing	13	11	$47.38	$26.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	290	287	$125.00	$120.77
92250 Photography of the retina	171	164	$90.00	$63.99
99213 Established patient office or other outpatient visit, typically 15 minutes	121	96	$83.00	$71.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	59	$59.00	$42.49
92083 Exam of visual field with extended testing	70	57	$118.71	$61.72
92004 New patient complete exam of visual system	65	65	$135.00	$130.08
92133 Imaging of optic nerve	64	61	$86.88	$34.10
66984 Removal of cataract with insertion of lens	50	35	$400.00	$122.17
92134 Imaging of retina	24	18	$76.67	$31.61
92225 Examination of eye by ophthalmoscope with retinal drawing	19	19	$54.00	$26.07
66982 Complex removal of cataract with insertion of prosthetic lens	17	12	$460.00	$148.43
92226 Examination of eye by ophthalmoscope with retinal drawing	16	13	$44.00	$24.03

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MT 807

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

Commercial Insurance / Payer ID License Number For State Of Montana

807 (MT)

Hospital & Practice Group Affiliations

Mission Valley Eye Center Inc

417 Main St Sw, Ronan, MT 598642739

Phone: 4066468921

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Levi Black , OD

Optometrist

NPI 1831768779

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 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2012

Registered at 417 MAIN ST SW, RONAN, MT 598642738 (Tel: 4066763937)

📍

Updated Business Mailing Address April 03, 2012

Registered at PO BOX 1048, 8704 DUBAY ROAD, POLSON, MT 59860 (Tel: 4067490259)

👤

Provider Name / Credentials Updated April 03, 2012

Recorded as MARCUS SIMONICH, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2012

Optometrist (License #807 in MT)

🟢

Initial NPI Registration & Enumeration May 06, 2009

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: 1497989396

Entity Type:

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

Enumeration Date: May 06, 2009

Last Update: April 03, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1048, 8704 Dubay Road

Polson, MT 59860

Phone: 4067490259

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.