MARGARET LILLIAN CARNEGIE MD
NPI 1255424354
Family Medicine in Missoula, MT

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
900 N ORANGE ST, SUITE 103 AND 106, MISSOULA, MT 59802(406) 327-3057(406) 327-3231 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Margaret Lillian Carnegie Md NPPES

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

MARGARET LILLIAN CARNEGIE MD (NPI 1255424354) is an individual family medicine provider in Missoula, Montana, licensed in Pennsylvania (MD058235L) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1255424354
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARGARET LILLIAN CARNEGIECredential: MD
Location Address900 N ORANGE ST, SUITE 103 AND 106Missoula, MT 59802-2998
Mailing AddressP.o. Box 1 2Liberty Lake, WA 99019-0012 · (406) 327-1918 · Fax (406) 329-2937
Fax(406) 327-3231
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 20, 2015
NPI 1255424354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD058235L
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

900 N ORANGE ST, Missoula, MT 59802

Other Identifiers 3

Medicaid1255424354MT
Medicare UPING24396MT
Medicare PIN011001548MT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Margaret Lillian Carnegie 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 ID1658472766
PECOS Enrollment IDI20070719000777
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.

Areas of Expertise CMS Part B claims 5

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.
89 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 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.
25 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services16 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59802 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
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

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims52 services$2.17 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.

Psychiatry & Neurology (Neurology)
900 N ORANGE ST, THIRD FLOOR
MISSOULA, MT 59802
Physician Assistant (Medical)
900 N ORANGE ST, SUITE #207
MISSOULA, MT 59802
Counselor (Professional)
900 N ORANGE ST, THIRD FLOOR
MISSOULA, MT 59802
Psychiatry & Neurology (Psychiatry)
900 N ORANGE ST, SUITE 202
MISSOULA, MT 59802
Social Worker (Clinical)
900 N ORANGE ST, STE 202
MISSOULA, MT 59802
Rehabilitation Unit
900 N ORANGE ST
MISSOULA, MT 59802
Specialist
900 N ORANGE ST, STE 103
MISSOULA, MT 59802
Registered Nurse
900 N ORANGE ST
MISSOULA, MT 59802

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 Margaret Carnegie's NPI number?

The NPI number for Margaret Carnegie is 1255424354. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Margaret Carnegie located?

Margaret Carnegie practices at 900 N Orange St Suite 103 And 106, Missoula, MT 59802. The listed phone number is (406) 327-3057.

What is Margaret Carnegie's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Margaret Carnegie enrolled in Medicare?

Yes. Margaret Carnegie 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.

What insurance does Margaret Carnegie accept?

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

According to CMS data, Margaret Carnegie is affiliated with St. Patrick Hospital and Community Medical Center.

When was this NPI record last updated?

The NPPES record for Margaret Carnegie was last updated on August 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.