DR. AUGUST LAWRENCE STEIN M.D.
NPI 1477719755
Ophthalmology in Kalispell, MT

Active since August 05, 2008PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
160 HERITAGE WAY, KALISPELL, MT 59901(406) 752-8825(406) 257-5554 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. August Lawrence Stein M.d. NPPES

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

DR. AUGUST LAWRENCE STEIN M.D. (NPI 1477719755) is an individual ophthalmology provider in Kalispell, Montana, licensed in Montana (MED-PHYS-LIC-25859) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of University Of Washington School Of Medicine (2008).

NPPES Registry Identity

NPI1477719755
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. AUGUST LAWRENCE STEINCredential: M.D.
Location Address160 HERITAGE WAYKalispell, MT 59901-3161
Mailing Address160 Heritage WayKalispell, MT 59901-3161 · (406) 752-8825 · Fax (406) 257-5554
Fax(406) 257-5554
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2008
Enumeration DateAugust 5, 2008
Last NPPES UpdateAugust 1, 2013
✔ NPI 1477719755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MT · MED-PHYS-LIC-25859✔ Licensed in WA · MD 60238854
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
160 HERITAGE WAY, Kalispell, MT 59901

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

Dr. August Lawrence Stein M.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 ID8224284625
PECOS Enrollment IDI20130730000403
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 19

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
470 services286 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.
412 services396 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
254 services34 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
224 services76 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
188 services129 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.
184 services175 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271336
Location1600 Hospital WayWhitefish, MT 59937 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost84.51

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%70 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
76%271 patients4/55-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 20

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

Otolaryngology
160 HERITAGE WAY, SUITE 201
KALISPELL, MT 59901
Internal Medicine (Cardiovascular Disease)
160 HERITAGE WAY
KALISPELL, MT 59901
Otolaryngology
160 HERITAGE WAY
KALISPELL, MT 59901
Dietitian, Registered
160 HERITAGE WAY, SUITE 102
KALISPELL, MT 59901
Otolaryngology
160 HERITAGE WAY
KALISPELL, MT 59901
Clinic/Center
160 HERITAGE WAY, SUITE 202
KALISPELL, MT 59901
Ophthalmology
160 HERITAGE WAY
KALISPELL, MT 59901
Internal Medicine
160 HERITAGE WAY, STE. 102
KALISPELL, MT 59901

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 August Stein's NPI number?

The NPI number for August Stein is 1477719755. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is August Stein located?

August Stein practices at 160 Heritage Way, Kalispell, MT 59901. The listed phone number is (406) 752-8825.

What is August Stein's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is August Stein enrolled in Medicare?

Yes. August Stein 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 August Stein accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list August Stein 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.

Is August Stein affiliated with any hospitals?

According to CMS data, August Stein is affiliated with Logan Health Medical Center and Logan Health - Whitefish.

When was this NPI record last updated?

The NPPES record for August Stein was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.