DOUGLAS S MARBARGER PA-C
NPI 1114252327
Physician Assistant - Medical in Kalispell, MT

Active since October 05, 2009PECOS EnrolledAccepts Medicare Assignment
160 HERITAGE WAY STE 202, KALISPELL, MT 59901(406) 752-8433(406) 756-6768 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 26, 2020, Jun 13, 2017 (3 updates tracked since 2017).

About Douglas S Marbarger Pa-c NPPES

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

DOUGLAS S MARBARGER PA-C (NPI 1114252327) is an individual medical provider in Kalispell, Montana, licensed in Montana (586) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1114252327
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDOUGLAS S MARBARGERCredential: PA-C
Location Address160 HERITAGE WAY STE 202Kalispell, MT 59901-3127
Mailing Address160 Heritage Way Ste 202Kalispell, MT 59901-3127 · (406) 752-8433 · Fax (406) 756-6768
Fax(406) 756-6768
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 5, 2009
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
NPI 1114252327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MT · 586
160 HERITAGE WAY STE 202, Kalispell, MT 59901

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

Douglas S Marbarger Pa-c 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 ID5799800736
PECOS Enrollment IDI20100915000268
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 4

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.
263 services246 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.
194 services185 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.
35 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$21.16 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
1 supplier13 claims13 services$118.59 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
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Physician Assistant
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Family)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Family)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Family Medicine
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Physician Assistant
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Primary Care)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901
Nurse Practitioner (Family)
160 HERITAGE WAY STE 202
KALISPELL, MT 59901

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 Douglas Marbarger's NPI number?

The NPI number for Douglas Marbarger is 1114252327. It was assigned to this individual provider in the NPPES registry on October 5, 2009.

Where is Douglas Marbarger located?

Douglas Marbarger practices at 160 Heritage Way Ste 202, Kalispell, MT 59901. The listed phone number is (406) 752-8433.

What is Douglas Marbarger's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Douglas Marbarger enrolled in Medicare?

Yes. Douglas Marbarger 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 Douglas Marbarger accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Douglas Marbarger 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 Douglas Marbarger affiliated with any hospitals?

According to CMS data, Douglas Marbarger is affiliated with Logan Health Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Marbarger was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.