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GREGG D PIKE MD
NPI 1144221011
Orthopaedic Surgery in Great Falls, MT

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
87.26/100
CMS Quality Rating
3000 15TH AVENUE SOUTH, GREAT FALLS, MT 59405(406) 454-2171(406) 771-3021 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregg D Pike Md NPPES

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

GREGG D PIKE MD (NPI 1144221011) is an individual orthopaedic surgery provider in Great Falls, Montana, licensed in Montana (10589) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Northwestern University Feinberg Medical School (1999).

NPPES Registry Identity

NPI1144221011
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameGREGG D PIKECredential: MD
Location Address3000 15TH AVENUE SOUTHGreat Falls, MT 59405
Mailing Address1400 29th St SGreat Falls, MT 59405-5353 · (406) 454-2171 · Fax (406) 771-3021
Phone(406) 454-2171
Fax(406) 771-3021
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1999
Enumeration DateAugust 2, 2005
Last NPPES UpdateAugust 8, 2011
✔ NPI 1144221011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MT · 10589
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3000 15TH AVENUE SOUTH, Great Falls, MT 59405
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Other Identifiers 3

Medicare UPINI07136
Medicaid0075854MT
Medicare PIN000084043MT

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

Gregg D Pike 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 ID1153308119
PECOS Enrollment IDI20040707000881
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 11

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.
311 services225 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.
149 services132 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
76 services76 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
65 services61 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
59 services51 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
51 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Missouri River Medical Center

Critical Access Hospitals · Fort Benton, MT
OwnershipGovernment - Hospital District or Authority
CMS Certification Number271304
Location1501 St Charles StFort Benton, MT 59442 · Chouteau County
Emergency services

Benefis Teton Medical Center

Critical Access Hospitals · Choteau, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271307
Location915 4th St NWChoteau, MT 59422 · Teton County
Emergency services

Pondera Medical Center

Critical Access Hospitals · Conrad, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271324
Location805 Sunset BlvdConrad, MT 59425 · Pondera County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$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.

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.

87.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.97
Promoting Interoperability85.91
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier24 claims24 services$86.20 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 3

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

JULIE JOAN BLISS MPT
Physical Therapist
3000 15TH AVENUE SOUTH
GREAT FALLS, MT 59405
Cascade County (406) 454-2171
KARL A GUTER MD
Internal Medicine (Hematology & Oncology)
3000 15TH AVENUE SOUTH
GREAT FALLS, MT 59405
Cascade County (406) 454-2171
JOHN T MOLLOY MD
Internal Medicine (Geriatric Medicine)
3000 15TH AVENUE SOUTH
GREAT FALLS, MT 59405
Cascade County (406) 454-2171

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 Gregg Pike's NPI number?

The NPI number for Gregg Pike is 1144221011. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Gregg Pike located?

Gregg Pike practices at 3000 15th Avenue South, Great Falls, MT 59405. The listed phone number is (406) 454-2171.

What is Gregg Pike's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Gregg Pike enrolled in Medicare?

Yes. Gregg Pike 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 Gregg Pike accept?

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

According to CMS data, Gregg Pike is affiliated with Benefis Hospitals Inc, Great Falls Clinic Hospital, Missouri River Medical Center, Benefis Teton Medical Center and Pondera Medical Center.

When was this NPI record last updated?

The NPPES record for Gregg Pike was last updated on August 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.