KILEY B KIRKSEY M.D.
NPI 1083875629
Family Medicine in Helena, MT

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
3330 PTARMIGAN LN, HELENA, MT 59602(406) 457-4180 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kiley B Kirksey M.d. NPPES

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

KILEY B KIRKSEY M.D. (NPI 1083875629) is an individual family medicine provider in Helena, Montana, licensed in Montana (12464) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of University Of Arkansas College Of Medicine (2008).

NPPES Registry Identity

NPI1083875629
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKILEY B KIRKSEYCredential: M.D.
Location Address3330 PTARMIGAN LNHelena, MT 59602-0521
Mailing AddressPo Box 6369Helena, MT 59604-6369 · (406) 457-4180
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2008
Enumeration DateJune 17, 2008
Last NPPES UpdateJuly 27, 2016
NPI 1083875629 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 · 12464
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.

3330 PTARMIGAN LN, Helena, MT 59602

Accepted 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

Kiley B Kirksey M.d. 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 ID4981876430
PECOS Enrollment IDI20111006000141
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.

Areas of Expertise CMS Part B claims 7

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 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.
497 services264 patients
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.
366 services264 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
343 services343 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
21 services20 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
18 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.22
Promoting Interoperability100
Improvement Activities40
Cost64.88

Referred Medical Equipment & Supplies CMS DME claims 17

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
11 suppliers44 claims89 services$5.54 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers52 claims52 services$36.34 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers32 claims32 services$105.49 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers41 claims100 services$39.86 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers23 claims109 services$24.68 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers25 claims25 services$64.35 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.

Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Physician Assistant (Medical)
3330 PTARMIGAN LN
HELENA, MT 59602
Internal Medicine (Gastroenterology)
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Internal Medicine (Gastroenterology)
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Physician Assistant
3330 PTARMIGAN LN
HELENA, MT 59602

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 Kiley Kirksey's NPI number?

The NPI number for Kiley Kirksey is 1083875629. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Kiley Kirksey located?

Kiley Kirksey practices at 3330 Ptarmigan Ln, Helena, MT 59602. The listed phone number is (406) 457-4180.

What is Kiley Kirksey's specialty?

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

Is Kiley Kirksey enrolled in Medicare?

Yes. Kiley Kirksey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kiley Kirksey accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Kiley Kirksey 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.

Is Kiley Kirksey affiliated with any hospitals?

According to CMS data, Kiley Kirksey is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Kiley Kirksey was last updated on July 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.