BENJAMIN LAWSON
NPI 1154717775
Internal Medicine - Nephrology in Missoula, MT

Q: What is Benjamin Lawson's NPI number?

The NPI number for Benjamin Lawson is 1154717775. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Q: What is Benjamin Lawson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Lawson was last updated on May 26, 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.

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment

3550 MULLAN RD STE 103A, MISSOULA, MT 59808(406) 213-8939(406) 224-6127 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2026, Aug 24, 2023, Feb 18, 2022 and 1 more (4 updates tracked since 2021).

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About Benjamin Lawson NPPES

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

BENJAMIN LAWSON (NPI 1154717775) is an individual nephrology provider in Missoula, Montana, licensed in Montana (MED-PHYS-LIC-126508) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1154717775

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameBENJAMIN LAWSON

Location Address3550 MULLAN RD STE 103AMissoula, MT 59808-5168

Mailing AddressPo Box 18032Missoula, MT 59808-8032 · (406) 213-8939 · Fax (406) 224-6127

Phone(406) 213-8939

Fax(406) 224-6127

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 10, 2015

Last NPPES UpdateMay 26, 20264 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1154717775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MT · MED-PHYS-LIC-126508

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3550 MULLAN RD STE 103A, Missoula, MT 59808

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Secondary Practice Locations 5

Location 11401 25th St SGreat Falls, MT 59405-5183 · Phone (406) 455-5000

Location 21 14th Ave WPolson, MT 59860-5306 · Phone (406) 213-8939

Location 3100 Hollenback LnDeer Lodge, MT 59722 · Phone (406) 213-8939

Location 410 Kruger RoadPlains, MT 59859 · Phone (406) 213-8939

Location 5310 N 1st StHamilton, MT 59840-2528 · Phone (406) 213-8939

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Lawson 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 ID3971896887

PECOS Enrollment IDI20230724001294

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

Medicare enrollment records show Benjamin Lawson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montana Kidney PLLC

Same address

Nephrology

3550 MULLAN RD STE 103A
Missoula, MT 59808

Reassigned Medicare billing, Montana enrollment
3 clinicians in this Medicare group

NPI 1841055399 (406) 213-8939

Missoula Community Health Services, Inc.

45 mi

Critical Access

1208 6TH AVE E
Superior, MT 59872

Reassigned Medicare billing, Montana enrollment
14 clinicians in this Medicare group

NPI 1902990005 (406) 822-4841

Granite County Hospital District

52 mi

Critical Access

310 SOUTH SANSOME STREET
Philipsburg, MT 59858

Reassigned Medicare billing, Montana enrollment
4 clinicians in this Medicare group

NPI 1922073907 (406) 859-3271

Providence St Joseph Medical Center

55 mi

Family Medicine

6 13TH AVE E
Polson, MT 59860

Reassigned Medicare billing, Montana enrollment
111 clinicians in this Medicare group

NPI 1669655528 (406) 883-5377

Benefis Hospitals Inc

137 mi

Multi-Specialty

1401 25TH ST S
Great Falls, MT 59405

Reassigned Medicare billing, Montana enrollment
637 clinicians in this Medicare group

NPI 1780968974 (406) 455-5000

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 13

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.

411 services215 patients

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.

398 services91 patients

Dialysis services, per day, less than full month service (20 years or older) 90970

Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.

245 services11 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.

136 services136 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

114 services48 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

66 services11 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

59 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

57 services55 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

42 services14 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.

32 services28 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.

29 services27 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

23 services12 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270014

Location500 W BroadwayMissoula, MT 59806 · Missoula County

Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Missoula, MT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270023

Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula County

Emergency services Birthing friendly

Clark Fork Valley Hospital

Critical Access Hospitals · Plains, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271323

Location10 Kruger RdPlains, MT 59859 · Sanders County

Emergency services

Bitterroot Health - Daly Hospital

Critical Access Hospitals · Hamilton, MT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271340

Location1200 Westwood DrHamilton, MT 59840 · Ravalli County

Emergency services

Providence St Joseph Medical Center

Critical Access Hospitals · Polson, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271343

Location6 13th Ave EPolson, MT 59860 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59808 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$6.71 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

11 suppliers93 claims8,101 services$0.29 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers25 claims3,550 services$0.01 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers27 claims2,728 services$0.19 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

8 suppliers75 claims10,812 services$0.81 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

16 suppliers70 claims70 services$18.37 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

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

MONTANA KIDNEY PLLC

Internal Medicine (Nephrology)

3550 MULLAN RD STE 103A
MISSOULA, MT 59808

Missoula County (406) 213-8939

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 Benjamin Lawson's NPI number?

The NPI number for Benjamin Lawson is 1154717775. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Benjamin Lawson located?

Benjamin Lawson practices at 3550 Mullan Rd Ste 103A, Missoula, MT 59808. The listed phone number is (406) 213-8939.

What is Benjamin Lawson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Benjamin Lawson enrolled in Medicare?

Yes. Benjamin Lawson 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 Benjamin Lawson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Lawson reassigns Medicare benefits to 5 organizations: Montana Kidney PLLC (Missoula, MT), Missoula Community Health Services, Inc. (Superior, MT), Granite County Hospital District (Philipsburg, MT), Providence St Joseph Medical Center (Polson, MT) and Benefis Hospitals Inc (Great Falls, MT). 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 Benjamin Lawson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Lawson accept?

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

According to CMS data, Benjamin Lawson is affiliated with St. Patrick Hospital, Community Medical Center, Clark Fork Valley Hospital, Bitterroot Health - Daly Hospital and Providence St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Lawson was last updated on May 26, 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.