DR. EDRED T VIZCARRA MD
NPI 1043373111
Family Medicine in Ronan, MT

Q: What is Edred Vizcarra's NPI number?

The NPI number for Edred Vizcarra is 1043373111. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Q: What is Edred Vizcarra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Edred Vizcarra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment

126 6TH AVE SW, RONAN, MT 59864(406) 676-3600(406) 676-3738 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Edred T Vizcarra Md NPPES

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

DR. EDRED T VIZCARRA MD (NPI 1043373111) is an individual family medicine provider in Ronan, Montana, licensed in Montana (6860) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke Community Hospital, and is a graduate of Loma Linda University School Of Medicine (1981).

NPPES Registry Identity

NPI1043373111

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EDRED T VIZCARRACredential: MD

Location Address126 6TH AVE SWRonan, MT 59864-2600

Mailing Address48767 Rocky Butte RdRonan, MT 59864-8897 · (406) 676-0432

Phone(406) 676-3600

Fax(406) 676-3738

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 1981

Enumeration DateDecember 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1043373111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MT · 6860

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

126 6TH AVE SW, Ronan, MT 59864

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Other Identifiers 2

Medicare UPINA50961MT

Medicaid101257MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edred T Vizcarra Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113815531

PECOS Enrollment IDI20110111000928

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke Community Hospital

Critical Access Hospitals · Ronan, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271325

Location107 6th Ave SWRonan, MT 59864 · Lake County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59864 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers30 claims77 services$6.27 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier12 claims1,440 services$1.37 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers13 claims48 services$3.00 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers17 claims17 services$21.28 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers19 claims19 services$27.10 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers42 claims42 services$119.31 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MEGAN A VIGIL M.D.

Family Medicine