NPIMap

Individual provider Active NPI

Tyler Arnt Ofstad, M.D., PHD

  • Retina Specialist (Ophthalmology) Physician
  • Kalispell, MT
National Provider Identifier
1407199607
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MED-PHYS-LIC-75060 Issued in MT
Practice address
175 Timberwolf Pkwy
Kalispell, MT 59901-1218
Phone
(406) 257-2020
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 148143 CA
Student in an Organized Health Care Education/Training Program 390200000X
Retina Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0107X MED-PHYS-LIC-75060 MT Primary

Addresses

Primary practice location

175 Timberwolf Pkwy
Kalispell, MT 59901-1218

Mailing address

175 Timberwolf Pkwy
Kalispell, MT 59901-1218

Other practice location 1

9415 Campus Point Dr
LA Jolla, CA 92093-2307
Phone (858) 534-6290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170725000949 CA Practitioner - Ophthalmology 6103196100 Reassigns benefits to 1 organization
I20190807000886 MT Practitioner - Ophthalmology 6103196100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacier Eye Clinic PCGroup PAC ID 5193728293, 12 clinicians

Practice addresses (Care Compare)

175 Timberwolf Pkwy
Kalispell, MT 59901-1218
Phone (406) 257-2020

Hospital & facility affiliations

  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051
  • Cabinet Peaks Medical Center Hospital, Libby, MT, CCN 271320
  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336

Merit-based Incentive Payment System (MIPS)

Final score
93.59 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
148143CAMDRetina Specialist (Ophthalmology) Physician
MED-PHYS-LIC-75060MTMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Multi-Specialty CurrentSince Jul 1, 2017 Accepting new patients
Glacier Eye Clinic PC Multi-Specialty CurrentSince Aug 28, 2019 Accepting new patients
Regents of the University of California Multi-Specialty CurrentSince Jul 1, 2017 Accepting new patients
Glacier Surgical Inc. PastSince Dec 16, 2020 Accepting new patients

Locations

9415 Campus Point Dr
La Jolla, CA 92093
Phone (619) 543-3000

File 57326
Los Angeles, CA 90074

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

175 Timberwolf Pkwy
Kalispell, MT 59901
Phone (406) 257-2020

155 Timberwolf Pkwy
Kalispell, MT 59901
Phone (866) 991-9030

410 1st St E
Polson, MT 59860
Phone (406) 740-7191

Interoperability endpoints

  • Direct secure messaging: tofstad@glaciereye.intellechartdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1407199607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TIMBERWOLF PKWY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 TIMBERWOLF PKWY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011218",
            "telephone_number": "406-257-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9415 Campus Point Dr",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920932307",
            "country_code": "US",
            "telephone_number": "858-534-6290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFSTAD",
        "first_name": "TYLER",
        "middle_name": "ARNT",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "148143",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MT",
            "license": "MED-PHYS-LIC-75060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.