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DR. THOMAS JAMES HERIZA MD
NPI 1083775035
Psychiatry & Neurology - Psychiatry in Bozeman, MT

Active since December 13, 2006Opted out of Medicare · through Sep 13, 2027
1871 S 22ND AVE STE 3, BOZEMAN, MT 59718(406) 585-3584(406) 534-0411 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas James Heriza Md NPPES

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

DR. THOMAS JAMES HERIZA MD (NPI 1083775035) is an individual psychiatry provider in Bozeman, Montana, licensed in Montana (12436) and active in the NPI registry since December 2006. He has opted out of Medicare through September 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083775035
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. THOMAS JAMES HERIZACredential: MD
Location Address1871 S 22ND AVE STE 3Bozeman, MT 59718-7054
Mailing Address1871 S. 22nd Ave Ste 3Bozeman, MT 59718-7054 · (406) 585-3584 · Fax (406) 534-0411
Phone(406) 585-3584
Fax(406) 534-0411
Sole ProprietorYes
Enumeration DateDecember 13, 2006
Last NPPES UpdateApril 4, 2018
✔ NPI 1083775035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MT · 12436
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1871 S 22ND AVE STE 3, Bozeman, MT 59718
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Other Identifiers 1

Medicaid150582OR

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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Thomas James Heriza Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 13, 2017 through September 13, 2027.

Opt-Out Effective DateSeptember 13, 2017
Opt-Out In Effect ThroughSeptember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59718 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
$172.26 typical visit price
range $56.81 – $172.26
Typical copayment $43.06 (range $14.20 – $43.06)
Most-billed visit code 99205
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
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 4

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

JEFF GREEN MD PC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
Gallatin County (406) 582-9306
MRS. SUSANNA TURNER DARR APRN
Nurse Practitioner (Psychiatric/Mental Health)
1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
Gallatin County (406) 404-6814
REBECCA J POGODA APRN
Nurse Practitioner (Psychiatric/Mental Health)
1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
Gallatin County (406) 404-6769
JEFFREY SCOTT GREEN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1871 S 22ND AVE STE 3
BOZEMAN, MT 59718
Gallatin County (406) 582-9306

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 Thomas Heriza's NPI number?

The NPI number for Thomas Heriza is 1083775035. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Thomas Heriza located?

Thomas Heriza practices at 1871 S 22nd Ave Ste 3, Bozeman, MT 59718. The listed phone number is (406) 585-3584.

What is Thomas Heriza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Thomas Heriza enrolled in Medicare?

No. Thomas Heriza has opted out of Medicare through September 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Thomas Heriza accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans list Thomas Heriza 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 Thomas Heriza was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.