2026 NPPES data Optometrist NPI 1699726778 O.D.
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WILLIAM SIMONS, O.D.

Optometrist in HELENA, Montana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
570
Medicare Part D claims · 138 beneficiaries · Optometrist avg: 257
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.1998/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$170.92
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: WILLIAM SIMONS, O.D. is a Optometrist ([object Object]) practicing in HELENA, Montana with a Medicare Part D prescribing footprint of 570 claims across 138 beneficiaries — 50% brand-name prescribing . Their CMS MIPS Final Score of 78.1998/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $170.92 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: WILLIAM SIMONS, O.D. reported a CMS MIPS final score of 78.1998 out of 100, below the 83.1 national average, and filed 570 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

WILLIAM SIMONS, O.D. at a glance

Near national average

NPI registry status

Active

Issued 05/13/2006

NPI 1699726778

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

570 122% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

78.1998/100 4.900199999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Optometrist compares to other specialties among Montana providers

Montana providers

Optometrist share within Montana

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within Montana

Medicare quality performance — MIPS

WILLIAM SIMONS, O.D.'s 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
78.1998/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 78.1998/100 vs national avg 83.1

0%100%National avg83%78.2%
MIPS final score (Optometrist) — 78.1998/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

WILLIAM SIMONS, O.D. is a Optometrist provider practicing in HELENA, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1699726778. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

WILLIAM SIMONS, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 550 N MONTANA AVE, HELENA, MT, 59601, with a listed phone of (406) 443-2121. NPI 1699726778 was issued on 05/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIMONS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 570 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $114K in drug spend, split 50% brand-name and 50% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.1998/100 for the 2023 performance year (Quality 56.3995), compared with the national average of 83.1.

Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

550 N MONTANA AVE
HELENA, MT 59601

Provider Details

NPI 1699726778
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 05/13/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

78.1998
Final Score
Avg: 83.1
56.3995
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where WILLIAM SIMONS, O.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MONTANA EYECARE LLP
HELENA, MT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for WILLIAM SIMONS, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$171

Largest payer

Alcon Vision LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

WILLIAM SIMONS, O.D. — brand share 50.0%
Specialty average (est.)

50% brand-name claims vs 50% generic, on 570 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

570
Total Claims
$114K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,111
Total Day Supply
31,828
Brand vs Generic
50% brand / 50% generic
Brand Drug Cost
$102K
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
76.0 years
Avg HCC Risk Score
0.91
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Latanoprost
192
Lumigan
Bimatoprost
51
Timolol Maleate
44
Brimonidine Tartrate
40
Dorzolamide Hcl
39
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
35
Restasis
Cyclosporine
29
Prednisolone Acetate
18
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Optometrist Overview

How WILLIAM SIMONS, O.D. fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

WILLIAM SIMONS, O.D.'s 570 claims are above the specialty average of 257.

Nearby Optometrist Providers in Montana

Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as SIMONS.

Compare Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIAM SIMONS, O.D.'s specialty?
WILLIAM SIMONS, O.D. specializes in Optometrist and practices in HELENA, Montana. Credentials: O.D..
How much does WILLIAM SIMONS, O.D. prescribe under Medicare Part D?
In 2023, WILLIAM SIMONS, O.D. wrote 570 Medicare Part D claims totaling $114K in drug costs for 138 beneficiaries.
What is WILLIAM SIMONS, O.D.'s Medicare quality score?
WILLIAM SIMONS, O.D. has a CMS MIPS Final Score of 78.1998/100 (Quality: 56.3995). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIAM SIMONS, O.D. located?
WILLIAM SIMONS, O.D. is located at 550 N MONTANA AVE, HELENA, MT, 59601. Phone: (406) 443-2121.
What is WILLIAM SIMONS, O.D.'s NPI number?
WILLIAM SIMONS, O.D.'s National Provider Identifier (NPI) is 1699726778, issued on 05/13/2006.
Does WILLIAM SIMONS, O.D. prescribe more brand-name or generic drugs?
WILLIAM SIMONS, O.D.'s prescribing is 50% brand-name and 50% generic drugs by claim count, with $102K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does WILLIAM SIMONS, O.D. prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM SIMONS, O.D.'s most frequently prescribed drugs include Latanoprost, Lumigan, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM SIMONS, O.D. accept Medicare?
WILLIAM SIMONS, O.D. appears in CMS Medicare data with 570 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM SIMONS, O.D.'s credentials?
WILLIAM SIMONS, O.D.'s NPI is 1699726778 with credentials O.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology