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BENEDICT F PAINTER MD
NPI 1154314839
Internal Medicine - Infectious Disease in Bozeman, MT

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
937 HIGHLAND BLVD STE 5120, BOZEMAN, MT 59715(406) 414-4210 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2026, Apr 9, 2025, Apr 4, 2025 and 3 more (6 updates tracked since 2022).

About Benedict F Painter Md NPPES

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

BENEDICT F PAINTER MD (NPI 1154314839) is an individual infectious disease provider in Bozeman, Montana, licensed in Montana (126601) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Highline Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1154314839
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameBENEDICT F PAINTERCredential: MD
Location Address937 HIGHLAND BLVD STE 5120Bozeman, MT 59715-6916
Mailing Address915 Highland BlvdBozeman, MT 59715-6902 · (406) 414-5000
Phone(406) 414-4210
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1987
Enumeration DateAugust 26, 2005
Last NPPES UpdateMay 22, 20266 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1154314839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in MT · 126601✔ Licensed in MN · 70640✔ Licensed in IN · 01097562A✔ Licensed in MS · 37241✔ Licensed in MO · R8H72✔ Licensed in IL · 036088881
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
937 HIGHLAND BLVD STE 5120, Bozeman, MT 59715
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Secondary Practice Locations 5

Location 1210 Sunnyview Ln Ste 105Kalispell, MT 59901-3128 · Phone (406) 756-4727 · Fax (406) 751-5350
Location 2430 Windward Way Ste 100Kalispell, MT 59901-2619 · Phone (406) 751-5364 · Fax (406) 751-5367
Location 34 Memorial Dr Ste 230Alton, IL 62002-6704 · Phone (636) 344-2014
Location 420 Progress Point Pkwy Ste 206O Fallon, MO 63368-2207 · Phone (636) 344-2014
Location 52044 Madison Ave, SUITE 15Granite City, IL 62040-4641 · Phone (618) 451-1500 · Fax (618) 451-9498

Other Identifiers 1

Medicaid036088881IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benedict F Painter 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 ID6305831769
PECOS Enrollment IDI20251105003952
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Benedict Painter reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bozeman Health Deaconess Hospital
0.1 mi
Emergency Medicine
915 HIGHLAND BLVD
Bozeman, MT 59715
  • Reassigned Medicare billing, Montana enrollment
  • 402 clinicians in this Medicare group
NPI 1437529112 (406) 414-5000
Scl Health Medical Group - Billings LLC
77 mi
Rural Health
55 N MONTANA AVE
Absarokee, MT 59001
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
NPI 1649883539 (406) 328-4497
Fairview Heights Medical Group Sc
1,157 mi
Multi-Specialty
670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 507 clinicians in this Medicare group
NPI 1679503668 (314) 996-7644
Ahs Il Medical Group LLC
1,170 mi
Clinic/Center
2100 MADISON AVE
Granite City, IL 62040
  • Reassigned Medicare billing, Illinois enrollment
  • 107 clinicians in this Medicare group
NPI 1659098101 (818) 666-0602
Nuview Health Indiana PC
2,160 mi
Critical Care Medicine
1825 NW CORPORATE BLVD STE 105
Boca Raton, FL 33431
  • Reassigned Medicare billing, Indiana enrollment
  • 50 clinicians in this Medicare group
NPI 1215496336 (561) 299-3667
Nuview Telehealth, LLC
2,160 mi
Specialist
1825 NW CORPORATE BLVD STE 105
Boca Raton, FL 33431
  • Reassigned Medicare billing, Mississippi enrollment
  • 29 clinicians in this Medicare group
NPI 1538300181 (561) 299-3667

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

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
189 services84 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
89 services84 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.
42 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Highline Medical Center

Acute Care Hospitals · Burien, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500011
Location16251 Sylvester Road SWBurien, WA 98166 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59715 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
50%127 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
16%146 patients1/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%397 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%124 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%267 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%268 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
15%183 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%267 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
9%267 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
4%267 patients
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.

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.

SUSAN MEYER PA-C
Physician Assistant
937 HIGHLAND BLVD STE 5120
BOZEMAN, MT 59715
Gallatin County (406) 414-4210
JEFFREY ALLEN TJADEN M.D. M.P.H.
Internal Medicine (Infectious Disease)
937 HIGHLAND BLVD STE 5120
BOZEMAN, MT 59715
Gallatin County (406) 414-4210
PETER KURT BULGER MD
Internal Medicine (Infectious Disease)
937 HIGHLAND BLVD STE 5120
BOZEMAN, MT 59715
Gallatin County (406) 414-4210
JESSIKA HINZ DO
Internal Medicine (Infectious Disease)
937 HIGHLAND BLVD STE 5120
BOZEMAN, MT 59715
Gallatin County (406) 414-4210

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 Benedict Painter's NPI number?

The NPI number for Benedict Painter is 1154314839. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Benedict Painter located?

Benedict Painter practices at 937 Highland Blvd Ste 5120, Bozeman, MT 59715. The listed phone number is (406) 414-4210.

What is Benedict Painter's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Benedict Painter enrolled in Medicare?

Yes. Benedict Painter 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.

Which organizations bill Medicare for Benedict Painter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benedict Painter reassigns Medicare benefits to 6 organizations: Bozeman Health Deaconess Hospital (Bozeman, MT), Scl Health Medical Group - Billings LLC (Absarokee, MT), Fairview Heights Medical Group Sc (Saint Louis, MO), Ahs Il Medical Group LLC (Granite City, IL), Nuview Health Indiana PC (Boca Raton, FL) and 1 more organization, listed in the Medicare section above. Each 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 Benedict Painter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benedict Painter accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Benedict Painter 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 Benedict Painter affiliated with any hospitals?

According to CMS data, Benedict Painter is affiliated with Highline Medical Center.

When was this NPI record last updated?

The NPPES record for Benedict Painter was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.