Active NPI
Richelle A Stillwagon, MD
- Ophthalmology Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 104726
- Practice address
- 2687 Palmer St Ste C2
Missoula, MT 59808-1710 - Phone
- (406) 728-0044
- NPI assigned
- Jun 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R73383 | AZ | |
| Ophthalmology Physician | 207W00000X | MD60894494 | WA | |
| Ophthalmology Physician | 207W00000X | 104726 | MT | Primary |
Addresses
Primary practice location
2687 Palmer St Ste C2
Missoula, MT 59808-1710
Mailing address
6150 Cochise Dr
Missoula, MT 59804-9720
Phone (602) 743-5967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2687 Palmer St
Suite C2
Missoula, MT 59808-1710
Phone (406) 728-0044
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.71 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R73383 | AZ | MD | Internal Medicine Physician |
| 104726 | MT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana Valley Eye Clinic, PLLC | Single Specialty | Current | Accepting new patients |
Locations
2687 Palmer St
Ste C2
Missoula, MT 59808
Phone (406) 728-0044
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Missoula, MT
- NPI 1063634145
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1164783544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6150 COCHISE DR",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598049720",
"telephone_number": "602-743-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2687 PALMER ST STE C2",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081710",
"telephone_number": "406-728-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLWAGON",
"first_name": "RICHELLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R73383",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD60894494",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MT",
"license": "104726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.