WENDY TERESE GRACE MD
NPI 1265743348
Family Medicine in Butte, MT

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment
400 S CLARK ST, BUTTE, MT 59701(406) 723-2500 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2023, Apr 24, 2020 (2 updates tracked since 2020).

About Wendy Terese Grace Md NPPES

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

WENDY TERESE GRACE MD (NPI 1265743348) is an individual family medicine provider in Butte, Montana, licensed in Montana (34591) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265743348
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameWENDY TERESE GRACECredential: MD
Location Address400 S CLARK STButte, MT 59701-2328
Mailing Address445 Centennial AveButte, MT 59701-2870 · (406) 723-4075 · Fax (406) 496-6035
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 23, 2010
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
NPI 1265743348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MT · 34591 Licensed in OR · MD162973 Licensed in ID · M-1119
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.

400 S CLARK ST, Butte, MT 59701

Secondary Practice Locations 2

Location 1445 Centennial AveButte, MT 59701-2870 · Phone (406) 723-4075 · Fax (406) 723-6035
Location 2500 W Broadway StMissoula, MT 59802-4008 · Phone (406) 543-7271

Other Identifiers 1

Medicaid500657667OR

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

Wendy Terese Grace 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 ID3779720693
PECOS Enrollment IDI20150205000716
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
239 services112 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.
177 services112 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
128 services127 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
107 services107 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.
32 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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 James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow 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

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

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 59701 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%195 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$7.66 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,714 services$0.39 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers68 claims73 services$18.14 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$790.33 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers11 claims13 services$18.86 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
5 suppliers74 claims79 services$103.40 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.

Registered Nurse
400 S CLARK ST
BUTTE, MT 59701
Nurse Anesthetist, Certified Registered
400 S CLARK ST
BUTTE, MT 59701
Registered Nurse (Continuing Education/Staff Development)
400 S CLARK ST
BUTTE, MT 59701
General Acute Care Hospital (Rural)
400 S CLARK ST
BUTTE, MT 59701
Pathology (Anatomic Pathology & Clinical Pathology)
400 S CLARK ST
BUTTE, MT 59701
Anesthesiology
400 S CLARK ST
BUTTE, MT 59701
Physical Therapist
400 S CLARK ST
BUTTE, MT 59701
Internal Medicine
400 S CLARK ST
BUTTE, MT 59701

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 Wendy Grace's NPI number?

The NPI number for Wendy Grace is 1265743348. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Wendy Grace located?

Wendy Grace practices at 400 S Clark St, Butte, MT 59701. The listed phone number is (406) 723-2500.

What is Wendy Grace's specialty?

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

Is Wendy Grace enrolled in Medicare?

Yes. Wendy Grace 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 Wendy Grace accept?

Health plans from Blue Cross and Blue Shield of Montana and Providence Health Plan list Wendy Grace 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 Wendy Grace affiliated with any hospitals?

According to CMS data, Wendy Grace is affiliated with St. Patrick Hospital, St James Healthcare, Community Medical Center, Clark Fork Valley Hospital and Providence St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Wendy Grace was last updated on June 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.