DR. NICHOLE PRESLEY RIOUX O.D.
NPI 1730315730
Optometrist in Helena, MT

Active since June 04, 2009PECOS EnrolledAccepts Medicare Assignment
92.6/100
CMS Quality Rating
3116 SADDLE DR STE 3, HELENA, MT 59601(406) 541-3937(406) 541-3811 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nichole Presley Rioux O.d. NPPES

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

DR. NICHOLE PRESLEY RIOUX O.D. (NPI 1730315730) is an individual optometrist in Helena, Montana, licensed in Montana (2510) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2007).

NPPES Registry Identity

NPI1730315730
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. NICHOLE PRESLEY RIOUXCredential: O.D.
Location Address3116 SADDLE DR STE 3Helena, MT 59601-8645
Mailing Address2723 Maywood DrForest Grove, OR 97116-1816 · (503) 952-6480
Fax(406) 541-3811
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2007
Enumeration DateJune 4, 2009
Last NPPES UpdateAugust 12, 2024
NPPES CertifiedAugust 12, 2024
NPI 1730315730 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 · 2510
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.

3116 SADDLE DR STE 3, Helena, MT 59601

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. Nichole Presley Rioux 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 ID2163775917
PECOS Enrollment IDI20181025000958
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 9

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.
386 services382 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.
162 services111 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.
144 services135 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
142 services115 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.
62 services62 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.
52 services46 patients

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.

92.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability94
Improvement Activities40
Cost80.35

Other Providers at the Same Location NPPES 9

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

Technician/Technologist (Optician)
3116 SADDLE DR STE 3
HELENA, MT 59601
Technician/Technologist (Optician)
3116 SADDLE DR STE 3
HELENA, MT 59601
Technician/Technologist (Optician)
3116 SADDLE DR STE 3
HELENA, MT 59601
Technician/Technologist (Optician)
3116 SADDLE DR STE 3
HELENA, MT 59601
Ophthalmology
3116 SADDLE DR STE 3
HELENA, MT 59601
Technician/Technologist (Optician)
3116 SADDLE DR STE 3
HELENA, MT 59601
Technician/Technologist (Optician)
3116 SADDLE DR STE 3
HELENA, MT 59601
Technician/Technologist (Optician)
3116 SADDLE DR STE 3
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 Nichole Rioux's NPI number?

The NPI number for Nichole Rioux is 1730315730. It was assigned to this individual provider in the NPPES registry on June 4, 2009.

Where is Nichole Rioux located?

Nichole Rioux practices at 3116 Saddle Dr Ste 3, Helena, MT 59601. The listed phone number is (406) 541-3937.

What is Nichole Rioux's specialty?

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

Is Nichole Rioux enrolled in Medicare?

Yes. Nichole Rioux 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 Nichole Rioux 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 3 other insurers list Nichole Rioux 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 Nichole Rioux was last updated on August 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.