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BRIAN W ABBOTT DO
NPI 1023134293
Family Medicine - Sports Medicine in Helena, MT

Active since March 21, 2007PECOS Enrolled
3150 N MONTANA AVE STE A, HELENA, MT 59602(406) 422-5817(406) 422-5928 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2023, May 31, 2023, Sep 22, 2022 and 2 more (5 updates tracked since 2019).

About Brian W Abbott Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN W ABBOTT DO (NPI 1023134293) is an individual sports medicine provider in Helena, Montana, licensed in Montana (77129) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023134293
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameBRIAN W ABBOTTCredential: DO
Location Address3150 N MONTANA AVE STE AHelena, MT 59602
Mailing Address3150 N Montana Ave, Ste AHelena, MT 59602-7804 · (907) 212-6522
Phone(406) 422-5817
Fax(406) 422-5928
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateJune 7, 20235 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1023134293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MT · 77129
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3150 N MONTANA AVE STE A, Helena, MT 59602
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Other Identifiers 1

Medicaid1619166972MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian W Abbott Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brian Abbott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sebasticook Valley Health
2,042 mi
Critical Access
447 N MAIN ST
Pittsfield, ME 04967
  • Reassigned Medicare billing, Maine enrollment
  • 140 clinicians in this Medicare group
NPI 1457461477 (207) 487-5141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services42 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
54 services31 patients
Injection of anesthetic agent and/or steroid into other nerve or branch 64450
This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.
42 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
28 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID DUCHARME
Specialist/Technologist (Athletic Trainer)
3150 N MONTANA AVE STE A
HELENA, MT 59602
Lewis And Clark County (406) 422-5817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Abbott's NPI number?

The NPI number for Brian Abbott is 1023134293. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Brian Abbott located?

Brian Abbott practices at 3150 N Montana Ave Ste A, Helena, MT 59602. The listed phone number is (406) 422-5817.

What is Brian Abbott's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Brian Abbott enrolled in Medicare?

Yes. Brian Abbott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Abbott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Abbott reassigns Medicare benefits to Sebasticook Valley Health (Pittsfield, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Abbott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Abbott accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Brian Abbott as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Abbott was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.