Brian D. McCollom, O.D.
Individual provider
Active NPI
Optometrist · Choteau, MT
NPI 1699823005 · NPPES record last updated Apr 28, 2008
Key facts
- NPI
- 1699823005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 746 (MT)
- Practice address
- 913 4TH St NW
Choteau, MT 59422-9123
- Phone
- (406) 466-2802
- Fax
- (406) 466-2732
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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.
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
913 4TH St NW
Choteau, MT 59422-9123
Phone (406) 466-2802
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.56 of 100 (individual)
- Quality
- 89.12
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|
| Cataract surgery | 65 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20031120000396 |
MT |
Practitioner - Optometry |
4688578891 |
Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 746 | MT | MD | Speech-Language Pathologist |
Practice roles
Locations
913 4th St NW
Choteau, MT 59422
Phone (406) 466-2802
Interoperability endpoints
- Direct secure messaging: brian.mccollom@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Optometrist |
152W00000X |
746 |
MT |
Yes |
Addresses
Primary practice location
913 4TH St NW
Choteau, MT 59422-9123
Mailing address
913 4TH St NW
Choteau, MT 59422-9123
Phone (406) 466-2802
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 0482817 | Medicaid | MT | |
Other providers in Choteau, MT
- Lisa Lee Grossman, PT
- Heather Hodgskiss
- Rebecca Love, NP
- Sharon Leann Lyons, APRN, FNP-BC
- Jeffrey Macewen, DO
- Caralynn Faye Moore, FNP
- Jenna Moore
- Sheila Marie Murray, LCPC
- Cheri Ann Peterson, LCSW,LMFT, LAC
- Victoria Pitchford, PA-C
All providers in Choteau, MT
· Optometrist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (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.