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DR. GRAIG A ADERS M.D.
NPI 1265758734
Psychiatry & Neurology - Psychiatry in Great Falls, MT

Active since April 09, 2010PECOS EnrolledAccepts Medicare Assignment
1101 26TH ST S, GREAT FALLS, MT 59405(406) 731-8888(406) 731-8318 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Graig A Aders M.d. NPPES

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

DR. GRAIG A ADERS M.D. (NPI 1265758734) is an individual psychiatry provider in Great Falls, Montana, licensed in Montana (143107) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and maintains a secondary practice location in La Crosse.

NPPES Registry Identity

NPI1265758734
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. GRAIG A ADERSCredential: M.D.
Location Address1101 26TH ST SGreat Falls, MT 59405-5161
Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 731-8888 · Fax (406) 731-8318
Phone(406) 731-8888
Fax(406) 731-8318
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 9, 2010
Last NPPES UpdateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1265758734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MT · 143107✔ Licensed in WI · 56394
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 56394 (WI)
1101 26TH ST S, Great Falls, MT 59405
Open in Google Maps ↗

Secondary Practice Location 1

Location 11836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Graig A Aders M.d. 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 ID3971766049
PECOS Enrollment IDI20120530000266, I20240903003846
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 Reassignments

6

Medicare enrollment records show Graig Aders reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Benefis Hospitals, Inc.
0.1 mi
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1881650737 (406) 455-5000
State Of Montana
91 mi
Intermediate Care Facility, Mental Illness
800 CASINO CREEK DR
Lewistown, MT 59457
  • Reassigned Medicare billing, Montana enrollment
  • 40 clinicians in this Medicare group
NPI 1528079720 (406) 538-7451
Gundersen Clinic, Ltd.
975 mi
Optometrist
106 E 2ND ST
Winona, MN 55987
  • Reassigned Medicare billing, Wisconsin enrollment
  • 928 clinicians in this Medicare group
NPI 1114971751 (608) 782-7300
Gundersen Lutheran Medical Center Inc
999 mi
Clinic/Center
1111 7TH ST S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
NPI 1225873458 (608) 782-7300
Human Services Board Serving North Central Health Care Facility
1,048 mi
Multi-Specialty
2400 MARSHALL ST STE A
Wausau, WI 54403
  • Reassigned Medicare billing, Wisconsin enrollment
  • 47 clinicians in this Medicare group
NPI 1205944543 (715) 848-4600
Thrive Counseling LLC
1,767 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Texas enrollment
  • 262 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
96 services41 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services18 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
22 services20 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.
14 services13 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 2

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$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 20

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

OMER USMAN MD
Hospitalist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
EDMUND J BRENNAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
MRS. DELENE R LYNES OTA
Occupational Therapy Assistant
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5412
SHELBY ELIZABETH DUFOUR PHARMD
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 771-6300
DANIEL KNUFFKE
Occupational Therapist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 781-1305
KRISTIN HUNTOON D.O, PHD
Neurological Surgery
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
PATRICK HUGH SMITH FNP-BC
Nurse Practitioner (Family)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
DR. SAMANTHA ANNE BASCO PHARMD
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5430

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 Graig Aders's NPI number?

The NPI number for Graig Aders is 1265758734. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Graig Aders located?

Graig Aders practices at 1101 26th St S, Great Falls, MT 59405. The listed phone number is (406) 731-8888.

What is Graig Aders's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Graig Aders enrolled in Medicare?

Yes. Graig Aders 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.

Which organizations bill Medicare for Graig Aders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Graig Aders reassigns Medicare benefits to 6 organizations: Benefis Hospitals, Inc. (Great Falls, MT), State Of Montana (Lewistown, MT), Gundersen Clinic, Ltd. (Winona, MN), Gundersen Lutheran Medical Center Inc (La Crosse, WI), Human Services Board Serving North Central Health Care Facility (Wausau, WI) and 1 more organization, listed in the Medicare section above. Each 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 Graig Aders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Graig Aders accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan and 4 other insurers list Graig Aders 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 Graig Aders affiliated with any hospitals?

According to CMS data, Graig Aders is affiliated with Benefis Hospitals Inc and Gundersen Lutheran Medical Center.

When was this NPI record last updated?

The NPPES record for Graig Aders was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.