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MALLORY ROSE KELLEY RUTLEDGE DO
NPI 1265175178
Obstetrics & Gynecology in Helena, MT

Active since April 18, 2022PECOS Enrolled
45 MEDICAL PARK DR, HELENA, MT 59601(406) 442-1914 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mallory Rose Kelley Rutledge Do NPPES

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

MALLORY ROSE KELLEY RUTLEDGE DO (NPI 1265175178) is an individual obstetrics & gynecology provider in Helena, Montana, licensed in Montana (MED-PHYS-LIC-171191) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Rocky Vista University College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1265175178
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMALLORY ROSE KELLEY RUTLEDGECredential: DO
Location Address45 MEDICAL PARK DRHelena, MT 59601-4949
Mailing Address45 Medical Park DrHelena, MT 59601-4949
Phone(406) 442-1914
Sole ProprietorNo
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2022
Enumeration DateApril 18, 2022
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1265175178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MT · MED-PHYS-LIC-171191
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
45 MEDICAL PARK DR, Helena, MT 59601
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Other Names 1

Former Name (1)Mallory Rose Kelley Do

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Rose Kelley Rutledge Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032683289
PECOS Enrollment IDI20260630000163
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 Reassignment

Medicare enrollment records show Mallory Rutledge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montana Obgyn PC
Same address
Clinic/Center
45 MEDICAL PARK DR
Helena, MT 59601
  • Reassigned Medicare billing, Montana enrollment
  • 11 clinicians in this Medicare group
NPI 1124632047 (406) 442-1914

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 59601 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.

Other Providers at the Same Location NPPES 8

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

MONTANA OBGYN PC
Clinic/Center
45 MEDICAL PARK DR
HELENA, MT 59601
Lewis And Clark County (406) 442-1914
JESSICA PARSON M.D.
Obstetrics & Gynecology
45 MEDICAL PARK DR
HELENA, MT 59601
Lewis And Clark County (406) 442-1914
HELENA OB/GYN ASSOCIATES PC
Clinic/Center
45 MEDICAL PARK DR
HELENA, MT 59601
Lewis And Clark County (406) 442-1914
SUSAN JEAN DITCHEY-HELLEMS CNM
Advanced Practice Midwife
45 MEDICAL PARK DR
HELENA, MT 59601
Lewis And Clark County (406) 442-1914
ANDREW M MALANY MD PC
Obstetrics & Gynecology (Gynecology)
45 MEDICAL PARK DR
HELENA, MT 59601
Lewis And Clark County (406) 442-1914
DENISE A SMIGAJ FNP
Nurse Practitioner (Family)
45 MEDICAL PARK DR
HELENA, MT 59601
Lewis And Clark County (406) 442-1914
MRS. JAMIE DANIELLE RODRIGUEZ LCSW
Social Worker (Clinical)
45 MEDICAL PARK DR
HELENA, MT 59601
Lewis And Clark County (406) 465-9738
ALEXIS RAE O'LEARY DO
Obstetrics & Gynecology
45 MEDICAL PARK DR
HELENA, MT 59601
Lewis And Clark County (406) 442-1914

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 Mallory Rutledge's NPI number?

The NPI number for Mallory Rutledge is 1265175178. It was assigned to this individual provider in the NPPES registry on April 18, 2022. The provider is also known as Mallory Rose Kelley Do.

Where is Mallory Rutledge located?

Mallory Rutledge practices at 45 Medical Park Dr, Helena, MT 59601. The listed phone number is (406) 442-1914.

What is Mallory Rutledge's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mallory Rutledge enrolled in Medicare?

Yes. Mallory Rutledge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mallory Rutledge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Rutledge reassigns Medicare benefits to Montana Obgyn PC (Helena, MT). The 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 Mallory Rutledge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mallory Rutledge accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Mallory Rutledge 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 Mallory Rutledge was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.