MS. HEIDI DAWN BOWMAN DPT
NPI 1154617504
Physical Therapist in Big Sky, MT

NPI Status: Active since June 23, 2011

Contact Information

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716
Phone: (406) 995-7525
Fax: (406) 995-7528

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  • Individual
  • Female
  • Years of Experience 15
  • Physical Therapist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About HEIDI BOWMAN

This page provides the complete NPI Profile along with additional information for Heidi Bowman, a provider established in Big Sky, Montana with a medical specialization in Physical Therapist and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1154617504 assigned on June 2011. The practitioner's primary taxonomy code is 225100000X with license number 2410 (MT). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1154617504
Provider Name
MS. HEIDI DAWN BOWMAN DPT
Gender
Female
Entity Type
Individual
Location Address
334 TOWN CENTER AVE BIG SKY, MT 59716
Location Phone
(406) 995-7525
Location Fax
(406) 995-7528
Mailing Address
PO BOX 11629 BOZEMAN, MT 59719
Mailing Phone
(406) 522-7488
Mailing Fax
(406) 995-7528
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
06-23-2011
Last Update Date
10-09-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2410
License State
MT
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Preferred Bronze PPO? 201 - PPO
  • Blue Preferred Bronze PPO? 202 - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? 204 - PPO
  • Blue Preferred Gold PPO? 901 - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? 203 - PPO
  • Blue Preferred Silver PPO? 308 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO
  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Heidi Bowman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 446429427

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110808000837

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation for physical therapy, typically 20 minutes

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

This service was performed 36 times for 36 patients

Therapy procedure for walking training, each 15 minutes

Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.

This service was performed 53 times for 11 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

This service was performed 64 times for 14 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 522 times for 52 patients

Therapy procedure using functional activities

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

This service was performed 1,359 times for 55 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 362 times for 62 patients

Training for self-care or home management, each 15 minutes

This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.

This service was performed 19 times for 14 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.99 for a new patient copayment and $17.7 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 59716 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $87.97
  • Minimum New Patient Price $56.81
  • Maximum New Patient Price $172.26
  • Average New Patient Copayment $21.99
  • Minimum New Patient Copayment $14.2
  • Maximum New Patient Copayment $43.06

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $70.82
  • Minimum Established Patient Price $18.24
  • Maximum Established Patient Price $140.32
  • Average Established Patient Copayment $17.7
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.08

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154617504
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041211450
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 2 + 1 + 1 + 4 + 5 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1154617504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

BOZEMAN HEALTH BIG SKY MEDICAL CENTER PHARMACY

Pharmacy

(Community/Retail Pharmacy)

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-6500

ERIKA L RAUK MS, RD, LN

Dietitian, Registered

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-7525

DR. WENDY R ROGERS PHARMD

Pharmacist

334 TOWN CENTER AVE
BIG SKY MEDICAL CENTER PHARMACY
BIG SKY, MT
ZIP 59716

(406) 995-6500

LONE PEAK PHYSICAL THERAPY INC

Physical Therapist

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-7525

CHARLES O ALLEN DO

Emergency Medicine

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-6995

MS. MAREN J DUNN CHANDLER DO

Family Medicine

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-6995

KIRK E. WEBER M.D.

Emergency Medicine

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-6995

ANNA ROWENA CARL MD

Emergency Medicine

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-6995

AMANDA JO FARMER PA-C

Physician Assistant

(Medical)

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-6995

DR. PHILIP ALAN HESS MD

Family Medicine

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-6995

JEREMY PHILIP MITCHELL DO

Family Medicine

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-6995

DR. DANIEL TANBAKUCHI DO

Family Medicine

334 TOWN CENTER AVE
BIG SKY, MT
ZIP 59716

(406) 995-6995

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154617504, enumerated as an "individual" on June 23, 2011.

The provider is located at 334 TOWN CENTER AVE BIG SKY, MT 59716 and the phone number is (406) 995-7525.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Mountain. Please consult your insurance carrier or call the provider to verify.