JOSE NESS MD
NPI 1265411359
Internal Medicine - Medical Oncology in Kalispell, MT

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
350 HERITAGE WAY, SUITE 1100, KALISPELL, MT 59901(406) 752-8900(406) 752-8909 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2021, Jun 26, 2020, Aug 22, 2017 (3 updates tracked since 2017).

About Jose Ness Md NPPES

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

JOSE NESS MD (NPI 1265411359) is an individual medical oncology provider in Kalispell, Montana, licensed in Montana (41936) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1265411359
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameJOSE NESSCredential: MD
Location Address350 HERITAGE WAY, SUITE 1100Kalispell, MT 59901-3160
Mailing Address350 Heritage Way, Suite 1100Kalispell, MT 59901-3158 · (406) 752-8900 · Fax (406) 752-8909
Fax(406) 752-8909
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 17, 2006
Last NPPES UpdateApril 19, 20213 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
NPI 1265411359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses Licensed in MT · 41936 Licensed in IA · 34338
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License 34338 (IA), 41936 (MT)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 34338 (IA)
350 HERITAGE WAY, Kalispell, MT 59901

Other Identifiers 2

Other43633IA · Wellmark Bcbs
Medicaid0251827IA

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

Jose Ness 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 ID9830261023
PECOS Enrollment IDI20151102000679
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 10

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 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.
704 services285 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.
701 services349 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.
66 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
54 services54 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
31 services15 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Cabinet Peaks Medical Center

Critical Access Hospitals · Libby, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271320
Location209 Health Park DrLibby, MT 59923 · Lincoln County
Emergency services

Clark Fork Valley Hospital

Critical Access Hospitals · Plains, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271323
Location10 Kruger RdPlains, MT 59859 · Sanders County
Emergency services

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

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271336
Location1600 Hospital WayWhitefish, MT 59937 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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
$172.26 typical visit price
range $56.81 – $172.26
Typical copayment $43.06 (range $14.20 – $43.06)
Most-billed visit code 99205
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.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers25 claims1,612 services$0.71 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier28 claims28 services$12.51 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.

Orthopaedic Surgery (Hand Surgery)
350 HERITAGE WAY, SUITE 1200
KALISPELL, MT 59901
Physician Assistant
350 HERITAGE WAY, SUITE 1200
KALISPELL, MT 59901
Internal Medicine (Interventional Cardiology)
350 HERITAGE WAY, SUITE 2100
KALISPELL, MT 59901
Thoracic Surgery (Cardiothoracic Vascular Surgery)
350 HERITAGE WAY, STE 2100
KALISPELL, MT 59901
Physician Assistant
350 HERITAGE WAY, SUITE 2100
KALISPELL, MT 59901
Internal Medicine (Pulmonary Disease)
350 HERITAGE WAY, SUITE 2100
KALISPELL, MT 59901
Internal Medicine (Hematology & Oncology)
350 HERITAGE WAY, SUITE 1100
KALISPELL, MT 59901
Physician Assistant (Medical)
350 HERITAGE WAY, SUITE 1200
KALISPELL, MT 59901

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 Jose Ness's NPI number?

The NPI number for Jose Ness is 1265411359. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Jose Ness located?

Jose Ness practices at 350 Heritage Way Suite 1100, Kalispell, MT 59901. The listed phone number is (406) 752-8900.

What is Jose Ness's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Jose Ness enrolled in Medicare?

Yes. Jose Ness 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 Jose Ness accept?

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

According to CMS data, Jose Ness is affiliated with Logan Health Medical Center, Cabinet Peaks Medical Center, Clark Fork Valley Hospital, St Luke Community Hospital and Logan Health - Whitefish.

When was this NPI record last updated?

The NPPES record for Jose Ness was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.