DR. THOMAS GIAN BERBOS MD
NPI 1710963517
Ophthalmology in Helena, MT

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
95.08/100
CMS Quality Rating
301 SADDLE DR, SUITE B, HELENA, MT 59601(406) 442-3937(406) 442-3366 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Gian Berbos Md NPPES

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

DR. THOMAS GIAN BERBOS MD (NPI 1710963517) is an individual ophthalmology provider in Helena, Montana, licensed in Montana (10805) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Vanderbilt University School Of Medicine (1995).

NPPES Registry Identity

NPI1710963517
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. THOMAS GIAN BERBOSCredential: MD
Location Address301 SADDLE DR, SUITE BHelena, MT 59601
Mailing Address301 Saddle Dr, Suite BHelena, MT 59601 · (406) 442-3937 · Fax (406) 442-3366
Fax(406) 442-3366
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1995
Enumeration DateDecember 22, 2005
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
NPI 1710963517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MT · 10805
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.
301 SADDLE DR, Helena, MT 59601

Other Identifiers 1

Medicaid02304823NY

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. Thomas Gian Berbos Md 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 ID2163445370
PECOS Enrollment IDI20060113000830
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 23

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
15,240 services18 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.
2,642 services194 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.
2,608 services966 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.
1,602 services238 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.
1,464 services1,398 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.
731 services419 patients

Hospital Affiliations CMS Care Compare

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

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59601 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.

95.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.35
Promoting Interoperability100
Improvement Activities40
Cost91.25

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims15 services$59.28 avg. paid by Medicare
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens V2201
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier22 claims44 services$40.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Clinic/Center (Pain)
301 SADDLE DR, SUITE F
HELENA, MT 59601
Neuromusculoskeletal Medicine, Sports Medicine
301 SADDLE DR
HELENA, MT 59601
Family Medicine (Sleep Medicine)
301 SADDLE DR
HELENA, MT 59601
Neuromusculoskeletal Medicine, Sports Medicine
301 SADDLE DR
HELENA, MT 59601
Internal Medicine
301 SADDLE DR
HELENA, MT 59601
Durable Medical Equipment & Medical Supplies (Customized Equipment)
301 SADDLE DR
HELENA, MT 59601
Dentist (General Practice)
301 SADDLE DR
HELENA, MT 59601
Clinic/Center
301 SADDLE DR
HELENA, MT 59601

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 Berbos's NPI number?

The NPI number for Thomas Berbos is 1710963517. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Thomas Berbos located?

Thomas Berbos practices at 301 Saddle Dr Suite B, Helena, MT 59601. The listed phone number is (406) 442-3937.

What is Thomas Berbos's specialty?

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

Is Thomas Berbos enrolled in Medicare?

Yes. Thomas Berbos 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 Thomas Berbos accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Thomas Berbos 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 Thomas Berbos affiliated with any hospitals?

According to CMS data, Thomas Berbos is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Thomas Berbos was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.