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DR. LARRY JAMES BONDERUD O.D.
NPI 1164414322
Optometrist in Shelby, MT

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
865 OILFIELD AVE, SHELBY, MT 59474(406) 434-5196(406) 434-5197 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larry James Bonderud O.d. NPPES

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

DR. LARRY JAMES BONDERUD O.D. (NPI 1164414322) is an individual optometrist in Shelby, Montana, licensed in Montana (393) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1975).

NPPES Registry Identity

NPI1164414322
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LARRY JAMES BONDERUDCredential: O.D.
Location Address865 OILFIELD AVEShelby, MT 59474-2702
Mailing Address865 Oilfield AveShelby, MT 59474-2702 · (406) 434-5196 · Fax (406) 434-5197
Phone(406) 434-5196
Fax(406) 434-5197
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 1975
Enumeration DateAugust 15, 2005
Last NPPES UpdateMay 26, 2010
✔ NPI 1164414322 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 MT · 393
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.
865 OILFIELD AVE, Shelby, MT 59474
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Other Identifiers 9

Other25830MT · Bc/bs Provider #
Other410016078MT · Railroad Provider #
Medicaid0481389MT
Medicare UPINT81761MT
Other393MT · State Tax Id #
Other810378082001MT · Ebms Provider #
Medicare NSC0336270001MT
Medicare ID-Type Unspecified000002583MT · Provider Id
OtherMSF0007633MT · Mt State Fund Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Dr. Larry James Bonderud O.d. 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 ID8224108543
PECOS Enrollment IDI20080529000451
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 5

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.
80 services80 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
57 services39 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
19 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services16 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59474 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 5

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

DR. JOHN PATRICK MOORE D.D.S.
Dentist (General Practice)
865 OILFIELD AVE
SHELBY, MT 59474
Toole County (406) 434-5146
DYLAN E WEISHAAR DDS
Dentist (General Practice)
865 OILFIELD AVE
SHELBY, MT 59474
Toole County (406) 434-3142
DR. BRYAN DREW HAIGHT D.D.S.
Dentist (General Practice)
865 OILFIELD AVE, SUITE 3
SHELBY, MT 59474
Toole County (406) 434-7086
GREGORY TRANDON LEE JEFFERSON
Dentist
865 OILFIELD AVE
SHELBY, MT 59474
Toole County (406) 434-3142
DR. JOREN DAVID BONDERUD OD
Optometrist
865 OILFIELD AVE
SHELBY, MT 59474
Toole County (406) 434-5196

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 Larry Bonderud's NPI number?

The NPI number for Larry Bonderud is 1164414322. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Larry Bonderud located?

Larry Bonderud practices at 865 Oilfield Ave, Shelby, MT 59474. The listed phone number is (406) 434-5196.

What is Larry Bonderud's specialty?

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

Is Larry Bonderud enrolled in Medicare?

Yes. Larry Bonderud 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 Larry Bonderud accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Larry Bonderud 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 Larry Bonderud was last updated on May 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.