DR. MICHAEL HARRY SIMONS O.D.
NPI 1962592543
Optometrist in Missoula, MT

Active since October 13, 2006PECOS Enrolled
726 KENSINGTON AVE, MISSOULA, MT 59801(406) 549-9413(406) 543-4410 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Harry Simons O.d. NPPES

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

DR. MICHAEL HARRY SIMONS O.D. (NPI 1962592543) is an individual optometrist in Missoula, Montana, licensed in Montana (564) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962592543
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL HARRY SIMONSCredential: O.D.
Location Address726 KENSINGTON AVEMissoula, MT 59801-5720
Mailing Address726 Kensington AveMissoula, MT 59801-5720 · (406) 549-9413 · Fax (406) 543-3410
Fax(406) 543-4410
Sole ProprietorYes
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
NPI 1962592543 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 · 564
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.
726 KENSINGTON AVE, Missoula, MT 59801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael Harry Simons O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 59801 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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%237 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
726 KENSINGTON AVE
MISSOULA, MT 59801
Optometrist
726 KENSINGTON AVE
MISSOULA, MT 59801

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 Michael Simons's NPI number?

The NPI number for Michael Simons is 1962592543. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Michael Simons located?

Michael Simons practices at 726 Kensington Ave, Missoula, MT 59801. The listed phone number is (406) 549-9413.

What is Michael Simons's specialty?

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

Is Michael Simons enrolled in Medicare?

Yes. Michael Simons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Simons was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.