LEVI RYAN BLACK OD
NPI 1831768779
Optometrist in Ronan, MT

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
417 MAIN ST SW, RONAN, MT 59864(406) 676-3937 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Levi Ryan Black Od NPPES

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

LEVI RYAN BLACK OD (NPI 1831768779) is an individual optometrist in Ronan, Montana, licensed in Montana (OPT-OPT-LIC-4214) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2021).

NPPES Registry Identity

NPI1831768779
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLEVI RYAN BLACKCredential: OD
Location Address417 MAIN ST SWRonan, MT 59864-2738
Mailing Address417 Main St SwRonan, MT 59864-2738 · (406) 676-3937
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2021
Enumeration DateJune 24, 2021
NPPES CertifiedMay 13, 2021
NPI 1831768779 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 · OPT-OPT-LIC-4214
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.
417 MAIN ST SW, Ronan, MT 59864

Other Identifiers 1

Medicaid1063764173MT

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

Levi Ryan Black Od 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 ID3678976743
PECOS Enrollment IDI20210727002440
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 8

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.
201 services200 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.
118 services86 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.
85 services85 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.
56 services56 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.
28 services16 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.
27 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59864 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.

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

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.

Optometrist
417 MAIN ST SW
RONAN, MT 59864
Optometrist
417 MAIN ST SW
RONAN, MT 59864
Optometrist
417 MAIN ST SW
RONAN, MT 59864
Optometrist
417 MAIN ST SW
RONAN, MT 59864
Optometrist
417 MAIN ST SW
RONAN, MT 59864

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 Levi Black's NPI number?

The NPI number for Levi Black is 1831768779. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Levi Black located?

Levi Black practices at 417 Main St SW, Ronan, MT 59864. The listed phone number is (406) 676-3937.

What is Levi Black's specialty?

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

Is Levi Black enrolled in Medicare?

Yes. Levi Black 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 Levi Black accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Levi Black 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 Levi Black was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.