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PAUL E SHINGLEDECKER M.D.
NPI 1245210392
Internal Medicine in Hamilton, MT

Active since January 17, 2006PECOS Enrolled
1200 WESTWOOD DR, HAMILTON, MT 59840(406) 363-2211(406) 375-4846 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Apr 8, 2024, Mar 16, 2016 (3 updates tracked since 2016).

About Paul E Shingledecker M.d. NPPES

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

PAUL E SHINGLEDECKER M.D. (NPI 1245210392) is an individual internal medicine provider in Hamilton, Montana, licensed in Montana (42849) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Stevensville.

NPPES Registry Identity

NPI1245210392
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL E SHINGLEDECKERCredential: M.D.
Location Address1200 WESTWOOD DRHamilton, MT 59840-2345
Mailing Address1200 Westwood DrHamilton, MT 59840-2345 · (406) 363-2211 · Fax (406) 375-4846
Phone(406) 363-2211
Fax(406) 375-4846
Sole ProprietorYes
Enumeration DateJanuary 17, 2006
Last NPPES UpdateApril 25, 20243 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1245210392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MT · 42849
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 42849 (MT)
1200 WESTWOOD DR, Hamilton, MT 59840
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Secondary Practice Location 1

Location 1715 Main StStevensville, MT 59870-2846 · Phone (406) 777-5522 · Fax (406) 777-1175

Other Identifiers 3

Medicaid01303502CO
Medicaid1245210392ID
Medicaid1245210392MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mountain Health CO-OP, 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)

Paul E Shingledecker M.d. 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 Paul Shingledecker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marcus Daly Memorial Hospital Corp
Same address
Orthopaedic Surgery
1200 WESTWOOD DR STE H
Hamilton, MT 59840
  • Reassigned Medicare billing, Montana enrollment
  • 154 clinicians in this Medicare group
NPI 1457656548 (406) 375-4868
Samuel Mahelona Memorial Hospital
3,018 mi
Critical Access
4800 KAWAIHAU ROAD
Kapaa, HI 96746
  • Reassigned Medicare billing, Hawaii enrollment
  • 66 clinicians in this Medicare group
NPI 1619038536 (808) 338-9431
Kauai Veterans Memorial Hospital
3,041 mi
Specialist
4643 WAIMEA CANYON DRIVE
Waimea, HI 96796
  • Reassigned Medicare billing, Hawaii enrollment
  • 94 clinicians in this Medicare group
NPI 1467620328 (808) 338-9431

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 4

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
53 services47 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.
40 services34 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.
38 services34 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59840 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 5

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

Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier12 claims12 services$9.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$118.84 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$36.63 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers21 claims1,650 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers14 claims14 services$24.19 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 20

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

DR. AARON CHRISTOPHER LAIRD MD
Emergency Medicine
1200 WESTWOOD DR
HAMILTON, MT 59840
Ravalli County (406) 363-2211
ADRIENNE CLARK RD
Dietitian, Registered
1200 WESTWOOD DR
HAMILTON, MT 59840
Ravalli County (406) 375-4536
HOLLY JOYCE LYNN SMITH OTR/L
Occupational Therapist
1200 WESTWOOD DR
HAMILTON, MT 59840
Ravalli County (406) 375-4434
DESIREE DAWN DUTTON M.P.T.
Physical Therapist
1200 WESTWOOD DR, REHAB SERVICES
HAMILTON, MT 59840
Ravalli County (406) 375-4570
ANN L KIMMEL M.D.
Obstetrics & Gynecology
1200 WESTWOOD DR
HAMILTON, MT 59840
Ravalli County (406) 375-4777
MR. DYLAN C POWELL PA-C
Physician Assistant
1200 WESTWOOD DR
HAMILTON, MT 59840
Ravalli County (406) 363-0597
JENNIFER JOYNER MS CCC/SLP
Speech-Language Pathologist
1200 WESTWOOD DR
HAMILTON, MT 59840
Ravalli County (406) 363-2691
ALLEN W JONES JR. M.D.
Family Medicine
1200 WESTWOOD DR
HAMILTON, MT 59840
Ravalli County (406) 363-5101

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 Paul Shingledecker's NPI number?

The NPI number for Paul Shingledecker is 1245210392. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Paul Shingledecker located?

Paul Shingledecker practices at 1200 Westwood Dr, Hamilton, MT 59840. The listed phone number is (406) 363-2211.

What is Paul Shingledecker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Shingledecker enrolled in Medicare?

Yes. Paul Shingledecker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Shingledecker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Shingledecker reassigns Medicare benefits to 3 organizations: Marcus Daly Memorial Hospital Corp (Hamilton, MT), Samuel Mahelona Memorial Hospital (Kapaa, HI) and Kauai Veterans Memorial Hospital (Waimea, HI). 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 Paul Shingledecker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Shingledecker accept?

Health plans from Mountain Health CO-OP and Providence Health Plan list Paul Shingledecker 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 Paul Shingledecker was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.