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ALPINE ORTHOPEDICS & SPORTS MEDICINE
NPI 1083626832
Orthopaedic Surgery - Sports Medicine in Bozeman, MT

Active since August 12, 2006
536 COTTONWOOD RD, SUITE 100, BOZEMAN, MT 59718(406) 586-8029(406) 586-8009 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alpine Orthopedics & Sports Medicine NPPES

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

ALPINE ORTHOPEDICS & SPORTS MEDICINE (NPI 1083626832) is a healthcare organization registered as a sports medicine in Bozeman, Montana and active in the NPI registry since August 2006. The organization lists Mark C Deibert, President, as its authorized official.

NPPES Registry Identity

NPI1083626832
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameALPINE ORTHOPEDICS & SPORTS MEDICINE
Location Address536 COTTONWOOD RD, SUITE 100Bozeman, MT 59718
Mailing Address536 Cottonwood Rd, Suite 100Bozeman, MT 59718 · (406) 586-8029 · Fax (406) 586-8009
Phone(406) 586-8029
Fax(406) 586-8009
Organization SubpartNo
Authorized OfficialMark C DeibertPresident · (406) 586-8029
Enumeration DateAugust 12, 2006
Last NPPES UpdateOctober 27, 2011
✔ NPI 1083626832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in MT · 8221
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
536 COTTONWOOD RD, Bozeman, MT 59718
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Other Identifiers 3

Medicare PIN000083502MT
Medicare UPIN000083502MT
Medicare NSC1194070001MT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alpine Orthopedics & Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by January 31, 2027

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMontanaEnrollment IDO20040907001208Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
StateMontanaEnrollment IDO20100930053439DME · Physician - Orthopedic/Orthopedic SurgeryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Alpine Orthopedics & Sports Medicine, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Orthopedic Surgery6
Nurse Practitioner2
Family Practice1
Physical Medicine and Rehabilitation1

Clinicians, nearest first (10)

Mark Deibert, MD
Orthopedic Surgery
NPI 1437159944
536 COTTONWOOD RD SUITE 100
Bozeman, MT 59718
(406) 586-8029
✔ PECOS✔ Accepts MedicareSame address
Peter Kelleher, MD
Orthopedic Surgery
NPI 1518185982
536 COTTONWOOD RD SUITE 100
Bozeman, MT 59718
(406) 586-8029
✔ PECOS✔ Accepts MedicareSame address
Timothy Obrien, MD
Orthopedic Surgery
NPI 1922008374
536 COTTONWOOD RD SUITE 100
Bozeman, MT 59718
(406) 586-8029
✔ PECOS✔ Accepts MedicareSame address
Dean Sukin, M.D.
Orthopedic Surgery
NPI 1457396186
536 S COTTONWOOD RD
Bozeman, MT 59718
(406) 586-8029
✔ PECOS✔ Accepts MedicareSame address
Virginia Jeppesen, NP-C
Nurse Practitioner
NPI 1174896419
536 S COTTONWOOD RD
Bozeman, MT 59718
(406) 586-8029
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Rasch, DO
Family Practice
NPI 1598717662
1 BOBCAT CIRCLE MSU CLINIC
Bozeman, MT 59717
(406) 414-4780
✔ PECOS✔ Accepts Medicare2.6 mi
Charlene Ward, FNP-BC
Nurse Practitioner
NPI 1851640767
935 HIGHLAND BLVD STE 2180
Bozeman, MT 59715
(406) 414-5512
✔ PECOS4.0 mi
Emily Harnden, M.D.
Orthopedic Surgery
NPI 1932408473
201 YELLOWSTONE AVE
Cody, WY 82414
(307) 254-0132
✔ PECOS✔ Accepts Medicare127 mi
Anthony Stark, D.O.
Physical Medicine and Rehabilitation
NPI 1598909376
450 LAUREL ST SUITE A
Des Moines, IA 50314
(515) 247-8400
✔ PECOS✔ Accepts Medicare918 mi
Stephen Reichard, M.D.
Orthopedic Surgery
NPI 1922323138
738 NEWMAN RD
New Bern, NC 28562
(252) 634-2676
✔ PECOS✔ Accepts Medicare1,919 mi

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

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 Alpine Orthopedics & Sports Medicine's NPI number?

The NPI number for Alpine Orthopedics & Sports Medicine is 1083626832. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is Alpine Orthopedics & Sports Medicine located?

Alpine Orthopedics & Sports Medicine is located at 536 Cottonwood Rd Suite 100, Bozeman, MT 59718. The listed phone number is (406) 586-8029.

What is Alpine Orthopedics & Sports Medicine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Alpine Orthopedics & Sports Medicine enrolled in Medicare?

Yes. Alpine Orthopedics & Sports Medicine is registered in the Medicare PECOS enrollment system.

When is Alpine Orthopedics & Sports Medicine's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Alpine Orthopedics & Sports Medicine holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by January 31, 2027 (Non-DME Part B, Montana, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Alpine Orthopedics & Sports Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Alpine Orthopedics & Sports Medicine. A 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 the clinician's services. The largest specialties are Orthopedic Surgery (6), Nurse Practitioner (2) and Family Practice (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Alpine Orthopedics & Sports Medicine accept?

Health plans from Blue Cross and Blue Shield of Montana list Alpine Orthopedics & Sports Medicine 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 Alpine Orthopedics & Sports Medicine was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.