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JACOB DILWORTH
NPI 1902792849
Optometrist in Polson, MT

Active since June 17, 2025PECOS EnrolledAccepts Medicare Assignment
203A RIDGEWATER DR, POLSON, MT 59860(406) 883-4355 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Dilworth NPPES

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

JACOB DILWORTH (NPI 1902792849) is an individual optometrist in Polson, Montana, licensed in Montana (5587) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1902792849
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJACOB DILWORTH
Location Address203A RIDGEWATER DRPolson, MT 59860-8992
Mailing Address203a Ridgewater DrPolson, MT 59860-8992
Phone(406) 883-4355
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1902792849 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 · 5587
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.
203A RIDGEWATER DR, Polson, MT 59860
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Jacob Dilworth 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 ID8426562885
PECOS Enrollment IDI20250708002938
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59860 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.

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.

JEFFREY D. HENINGER, O.D. PLLC
Optometrist
203A RIDGEWATER DR
POLSON, MT 59860
Lake County (406) 883-4355
DR. JEFFREY DONALD HENINGER O.D.
Optometrist
203A RIDGEWATER DR
POLSON, MT 59860
Lake County (406) 883-4355

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 Jacob Dilworth's NPI number?

The NPI number for Jacob Dilworth is 1902792849. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Jacob Dilworth located?

Jacob Dilworth practices at 203A Ridgewater Dr, Polson, MT 59860. The listed phone number is (406) 883-4355.

What is Jacob Dilworth's specialty?

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

Is Jacob Dilworth enrolled in Medicare?

Yes. Jacob Dilworth 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 Jacob Dilworth accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Jacob Dilworth 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 Jacob Dilworth was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.