THOMAS BILLARS OD
NPI 1043230584
Optometrist in Sioux Falls, SD

Q: What is Thomas Billars's NPI number?

The NPI number for Thomas Billars is 1043230584. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Thomas Billars's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Billars was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 20, 2006PECOS Enrolled

82.9/100

CMS Quality Rating

200 W 37TH ST, SIOUX FALLS, SD 57105(605) 336-2020(605) 725-2614 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas Billars Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS BILLARS OD (NPI 1043230584) is an individual optometrist in Sioux Falls, South Dakota, licensed in South Dakota (103) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043230584

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTHOMAS BILLARSCredential: OD

Location Address200 W 37TH STSioux Falls, SD 57105-5704

Mailing Address310 8th Ave Nw Ste 503Aberdeen, SD 57401-2369 · (605) 225-2020 · Fax (605) 725-2614

Phone(605) 336-2020

Fax(605) 725-2614

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateDecember 3, 2007

✔ NPI 1043230584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in SD · 103

Definition

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.

200 W 37TH ST, Sioux Falls, SD 57105

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Other Identifiers 3

Medicare PIN42347SD

Medicare UPINT66602SD

Medicaid9201134SD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Billars Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.37

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%36 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISTEN KRAMLICH O.D.

Optometrist

200 W 37TH ST
SIOUX FALLS, SD 57105

Minnehaha County (605) 336-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Billars's NPI number?

The NPI number for Thomas Billars is 1043230584. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Thomas Billars located?

Thomas Billars practices at 200 W 37th St, Sioux Falls, SD 57105. The listed phone number is (605) 336-2020.

What is Thomas Billars's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Thomas Billars enrolled in Medicare?

Yes. Thomas Billars is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Billars was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.