MICHAEL CRAIG WARDELL OD
NPI 1043757057
Optometrist in Billings, MT

Active since January 27, 2017PECOS EnrolledAccepts Medicare Assignment
1005 24TH ST W STE 8, BILLINGS, MT 59102(406) 281-8180 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2018, Mar 17, 2018, Jan 27, 2017 (3 updates tracked since 2017).

About Michael Craig Wardell Od NPPES

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

MICHAEL CRAIG WARDELL OD (NPI 1043757057) is an individual optometrist in Billings, Montana, licensed in Montana (2937) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2017).

NPPES Registry Identity

NPI1043757057
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL CRAIG WARDELLCredential: OD
Location Address1005 24TH ST W STE 8Billings, MT 59102-3800
Mailing Address1005 24th St W Ste 8Billings, MT 59102-3800 · (406) 281-8480
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2017
Enumeration DateJanuary 27, 2017
Last NPPES UpdateMay 11, 20183 updates tracked since enumeration
NPI 1043757057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MT · 2937
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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 2937 (MT)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 2937 (MT)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 2937 (MT)
1005 24TH ST W STE 8, Billings, MT 59102

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Craig Wardell Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840565628
PECOS Enrollment IDI20171004001330
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 10

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
188 services179 patients
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.
120 services114 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services66 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
66 services66 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
63 services40 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
60 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59102 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

Other Providers at the Same Location NPPES

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

Optometrist
1005 24TH ST W STE 8
BILLINGS, MT 59102

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 Michael Wardell's NPI number?

The NPI number for Michael Wardell is 1043757057. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Where is Michael Wardell located?

Michael Wardell practices at 1005 24th St W Ste 8, Billings, MT 59102. The listed phone number is (406) 281-8180.

What is Michael Wardell's specialty?

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

Is Michael Wardell enrolled in Medicare?

Yes. Michael Wardell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Wardell accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Mountain Health CO-OP and PacificSource Health Plans and 1 other insurer list Michael Wardell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Wardell was last updated on May 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.