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CARLA M KINGSLEY DO
NPI 1174523849
Internal Medicine - Cardiovascular Disease in Helena, MT

Active since July 26, 2005PECOS Enrolled
4119 FOX HOLLOW DR, HELENA, MT 59602(406) 438-1250(406) 227-1591 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 28, 2022, Feb 3, 2016, Jan 19, 2016 (3 updates tracked since 2016).

About Carla M Kingsley Do NPPES

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

CARLA M KINGSLEY DO (NPI 1174523849) is an individual cardiovascular disease provider in Helena, Montana, licensed in Montana (11657) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174523849
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameCARLA M KINGSLEYCredential: DO
Location Address4119 FOX HOLLOW DRHelena, MT 59602-6006
Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500
Phone(406) 438-1250
Fax(406) 227-1591
Sole ProprietorYes
Enumeration DateJuly 26, 2005
Last NPPES UpdateFebruary 28, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
✔ NPI 1174523849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in MT · 11657✔ Licensed in OH · 34004184
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4119 FOX HOLLOW DR, Helena, MT 59602
Open in Google Maps ↗

Other Identifiers 2

Other000000352645OH · Anthem
Medicaid0930738OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Carla M Kingsley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Carla Kingsley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Billings Cinic
75 mi
General Acute Care Hospital
3905 WELLNESS WAY
Bozeman, MT 59718
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Billings Clinic
  • 1,264 clinicians in this Medicare group
NPI 1215660840 (406) 898-1200
Rchp Billings - Missoula LLC
103 mi
Family Medicine
2827 FORT MISSOULA RD
Missoula, MT 59804
  • Reassigned Medicare billing, Montana enrollment
  • 192 clinicians in this Medicare group
NPI 1376946913 (406) 327-4620
Scl Health Medical Group - Billings LLC
122 mi
Rural Health
70 CATTAIL DR
Lewistown, MT 59457
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
NPI 1598386989 (406) 535-7070

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59602 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers18 claims20 services$42.25 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers20 claims47 services$3.20 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers15 claims15 services$45.41 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.

JOHN R RIBIC DO
Internal Medicine (Cardiovascular Disease)
4119 FOX HOLLOW DR
HELENA, MT 59602
Lewis And Clark County (406) 227-1155

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 Carla Kingsley's NPI number?

The NPI number for Carla Kingsley is 1174523849. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Carla Kingsley located?

Carla Kingsley practices at 4119 Fox Hollow Dr, Helena, MT 59602. The listed phone number is (406) 438-1250.

What is Carla Kingsley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Carla Kingsley enrolled in Medicare?

Yes. Carla Kingsley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carla Kingsley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Kingsley reassigns Medicare benefits to 3 organizations: Billings Cinic (Bozeman, MT), Rchp Billings - Missoula LLC (Missoula, MT) and Scl Health Medical Group - Billings LLC (Lewistown, 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 Carla Kingsley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Kingsley accept?

Health plans from Providence Health Plan list Carla Kingsley 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.

When was this NPI record last updated?

The NPPES record for Carla Kingsley was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.