Marcus Andrew Simonich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

807 Issued in MT

Practice address

417 Main St SW
Ronan, MT 59864-2738

Phone

(406) 676-3937

NPI assigned

May 6, 2009

Sex

Male

Sole proprietor

No

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.

• Mission Valley Eye Center, Inc.

  • Optometrist
  • Ronan, MT
  • NPI 1063764173

  MT

  Medicare reassignment Care Compare group Authorized official
• Whitefish Eye Center, LLC.

  • Optometrist
  • Whitefish, MT
  • NPI 1285644120
  NPD (past)

Specialty

Optometry

Education

Pacific University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Valley Eye Center Inc 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2012.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1497989396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "address_2": "8704 DUBAY ROAD",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "59860",
            "telephone_number": "406-749-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MAIN ST SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642738",
            "telephone_number": "406-676-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONICH",
        "first_name": "MARCUS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER FOR STATE OF MONTANA",
            "identifier": "807",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubree Ann Ruzkowski, D.O.
• School District #30
• James Schrock
• Kiera Elaine Sias
• Terrace Raymond Sias
• David Springs, MD
• St Lukes Community Hospital
• St Lukes Community Hospital
• St Lukes Community Hospital
• St Lukes Community Hospital

• All providers in Ronan, MT
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.

Verify at the official NPI Registry.