Larry James Bonderud, O.D.
NPI 1164414322ActiveIndividual· Optometrist· Shelby, MT
Optometrist (O.D.) in Shelby, Montana, trained at Southern California College of Optometry (class of 1975). In 2024 Medicare paid $11,329 for 132 patients, and Part D covered 160 of their prescriptions, 79% of them generic.
Overview
| NPI | 1164414322 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 15, 2005 |
| Last updated in NPPES | May 26, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 393 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 195 across 9 procedure codes |
| Paid by Medicare | $11,329 |
Part D prescriptions in 2024
| Prescriptions (claims) | 160 · 186 30-day fills |
|---|---|
| Patients | 38 |
| Total drug cost | $15,434 |
| Generic share | 79% of claims |
Education and affiliations
| Medical school | Southern California College of Optometry |
|---|---|
| Graduation year | 1975 |
| Medicare specialty | Optometry |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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