ALEXANDER DANIEL HETRICK DO
NPI 1255907580
Family Medicine in Ronan, MT

Active since May 27, 2021PECOS EnrolledAccepts Medicare Assignment
126 6TH AVE SW, RONAN, MT 59864(406) 676-3600 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2025, Nov 26, 2025, Aug 12, 2024 and 1 more (4 updates tracked since 2021).

About Alexander Daniel Hetrick Do NPPES

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

ALEXANDER DANIEL HETRICK DO (NPI 1255907580) is an individual family medicine provider in Ronan, Montana, licensed in Montana (MED-PHYS-LIC-132526) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and is a graduate of Temple University School Of Medicine (2021).

NPPES Registry Identity

NPI1255907580
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALEXANDER DANIEL HETRICKCredential: DO
Location Address126 6TH AVE SWRonan, MT 59864-2600
Mailing Address126 6th Ave SwRonan, MT 59864-2600 · (406) 676-3600 · Fax (406) 676-3738
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2021
Enumeration DateMay 27, 2021
Last NPPES UpdateDecember 29, 20254 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1255907580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MT · MED-PHYS-LIC-132526
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.
126 6TH AVE SW, Ronan, MT 59864

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

Alexander Daniel Hetrick Do 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 ID7416352836
PECOS Enrollment IDI20240821004173
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.

Hospital Affiliations CMS Care Compare 3

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

St Luke Community Hospital

Critical Access Hospitals · Ronan, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271325
Location107 6th Ave SWRonan, MT 59864 · Lake 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 59864 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.69 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
1 supplier11 claims11 services$78.28 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.

Family Medicine
126 6TH AVE SW
RONAN, MT 59864
Orthopaedic Surgery
126 6TH AVE SW
RONAN, MT 59864
Family Medicine
126 6TH AVE SW
RONAN, MT 59864
Family Medicine
126 6TH AVE SW
RONAN, MT 59864
Physician Assistant
126 6TH AVE SW
RONAN, MT 59864
Social Worker (Clinical)
126 6TH AVE SW
RONAN, MT 59864
Nurse Practitioner
126 6TH AVE SW
RONAN, MT 59864
Clinic/Center (Rural Health)
126 6TH AVE SW
RONAN, MT 59864

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 Alexander Hetrick's NPI number?

The NPI number for Alexander Hetrick is 1255907580. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Alexander Hetrick located?

Alexander Hetrick practices at 126 6th Ave SW, Ronan, MT 59864. The listed phone number is (406) 676-3600.

What is Alexander Hetrick's specialty?

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

Is Alexander Hetrick enrolled in Medicare?

Yes. Alexander Hetrick 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 Alexander Hetrick accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Alexander Hetrick 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 Alexander Hetrick affiliated with any hospitals?

According to CMS data, Alexander Hetrick is affiliated with St. Patrick Hospital, St Luke Community Hospital and Providence St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Alexander Hetrick was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.