DR. LAURA BETH MONTGOMERY (O.D.) – Optometrist, NPI 1881761161
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 OPTOMETRY in MO
Provider Addresses for DR. LAURA BETH MONTGOMERY (O.D.)
680 ALDRICH RD
BOLIVAR, MO 65613
Phone: (417) 777-9000
Fax: (417) 777-9000
Type: Location
4850 HIGHWAY U
BOLIVAR, MO 656138152
Phone: (417) 777-9000
Type: Mailing
1423, West State Highway J, Ozark, Christian County, Missouri, 65721, United States
OZARK, MO 657217473
Phone: (417) 582-2020
Fax: (417) 582-2027
Type: Location
907, East Stone Ridge Drive, Stone Ridge, Ozark, Christian County, Missouri, 65721, United States
OZARK, MO 657216421
Phone: (417) 582-1953
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $1,474.
Total Amount is formed as General ($1,474) + Research ($0) + Ownership ($0) = $1,474.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($649).
Total Amount
$1,474
General + Research + Ownership
Payments
33
Total payment records
General Amount
$1,474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-02-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070215000246 | I | Optometry | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 246 | 245 | $0 |
| 92250 | Photography of the retina | 164 | 162 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 66 | $0 |
| 92083 | Exam of visual field with extended testing | 50 | 35 | $0 |
| 92133 | Imaging of optic nerve | 42 | 28 | $0 |
Insurance plans in this area (ZIP 65613)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | MO | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 33 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO |
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