Individual provider Active NPI

Troy Dean Myers, O.D.

  • Optometrist
  • Glendive, MT
National Provider Identifier
1497914998
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
797 Issued in MT
Practice address
115 W Valentine St
Glendive, MT 59330-1666
Phone
(406) 365-8231
Fax
(406) 365-7081
NPI assigned
Jun 9, 2008
Last updated
Jul 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 797 MT Primary

Addresses

Primary practice location

115 W Valentine St
Glendive, MT 59330-1666

Mailing address

115 W Valentine St
Glendive, MT 59330-1666
Phone (406) 365-8231

Other identifiers 1

IdentifierTypeStateIssuer
011003937OtherMEDICARE PTAN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000301 MT Practitioner - Optometry 8123192788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 W Valentine St
Glendive, MT 59330-1666
Phone (406) 365-8231

839 1St Ave S
Glasgow, MT 59230-2262
Phone (406) 228-8200

Merit-based Incentive Payment System (MIPS)

Final score
99.17 of 100Reported as individual
Quality
98.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
797MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Glendive Eyecare Optometrist CurrentSince May 10, 2010 Accepting new patients
Gabert Medical Services, Inc PastSince Jan 1, 2011 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

115 W Valentine St
Glendive, MT 59330
Phone (406) 365-8231

115 W Valentine St
Ste 3
Glendive, MT 59330

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Glendive Medical Center Inc.Glendive, MT, CCN 271332 Hospital Corporate Director Feb 23, 2023
Glendive Medical Center Nursing HomeGlendive, MT, CCN 275067 Skilled nursing facility Corporate Director Feb 23, 2023
Glendive Medical Center HospiceGlendive, MT, CCN 271517 Hospice Corporate Director Feb 23, 2023
Gabert ClinicGlendive, MT, CCN 273411 Rural health clinic Corporate Director Feb 23, 2023

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1497914998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W VALENTINE ST",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301666",
            "telephone_number": "406-365-8231",
            "fax_number": "406-365-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W VALENTINE ST",
            "city": "GLENDIVE",
            "state": "MT",
            "postal_code": "593301666",
            "telephone_number": "406-365-8231",
            "fax_number": "406-365-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TROY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "011003937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendive, MT

Sources for this page

Verify at the official NPI Registry.