JON C KOLSTAD OD PC
NPI 1679620587
Optometrist in Glasgow, MT

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
92.5/100
CMS Quality Rating
630 3RD AVE S, GLASGOW, MT 59230(406) 228-8641(406) 228-2094 Get Directions Write a Review

NPPES record last updated: April 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jon C Kolstad Od Pc NPPES

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

JON C KOLSTAD OD PC (NPI 1679620587) is an individual optometrist in Glasgow, Montana, licensed in Montana (616) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1995).

NPPES Registry Identity

NPI1679620587
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJON C KOLSTADCredential: OD PC
Location Address630 3RD AVE SGlasgow, MT 59230-2407
Mailing Address630 3rd Ave SGlasgow, MT 59230-2407 · (406) 228-8641 · Fax (406) 228-2094
Fax(406) 228-2094
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1995
Enumeration DateJanuary 4, 2007
Last NPPES UpdateApril 15, 2014
NPI 1679620587 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 · 616
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.

630 3RD AVE S, Glasgow, MT 59230

Other Identifiers 7

Medicare NSC1094210001MT
Medicaid0000480012MT
Medicaid0000483565MT
Medicare UPINU58391MT
Medicare ID-Type Unspecified000082587MT
Medicare ID-Type Unspecified000082588MT
Medicaid0000482647MT

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

Jon C Kolstad Od Pc 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 ID7719979988
PECOS Enrollment IDI20120412000778
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D0908660

Jon C Kolstad O D P C/The Eye Clinic · Glasgow, MT
Expired · Nov 8, 2025
CLIA Number27D0908660
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2023
Certificate Expiration DateNovember 8, 2025
Laboratory DirectorJon C. Kolstad
Laboratory Phone(406) 228-8641
Laboratory LocationJon C Kolstad O D P C/The Eye Clinic133 3rd Street South, Glasgow, MT 59230
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
639 services545 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
432 services188 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.
363 services184 patients
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.
249 services122 patients
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.
178 services165 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.
142 services142 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59230 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.

92.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%95 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,755 patients5/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%145 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 2

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

Optometrist
630 3RD AVE S
GLASGOW, MT 59230
Optometrist
630 3RD AVE S
GLASGOW, MT 59230

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 Jon Kolstad's NPI number?

The NPI number for Jon Kolstad is 1679620587. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Jon Kolstad located?

Jon Kolstad practices at 630 3rd Ave S, Glasgow, MT 59230. The listed phone number is (406) 228-8641.

What is Jon Kolstad's specialty?

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

Is Jon Kolstad enrolled in Medicare?

Yes. Jon Kolstad 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 Jon Kolstad accept?

Health plans from Blue Cross and Blue Shield of Montana list Jon Kolstad 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 Jon Kolstad was last updated on April 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.