1. Home
  2. Directory
  3. Montana
  4. Missoula
  5. Otolaryngology
  6. NPI Profile

ROCKY MOUNTAIN EAR NOSE & THROAT CENTER PC
NPI 1306857917
Otolaryngology in Missoula, MT

Active since August 10, 2006CLIA Certified · 2 labs
700 WEST KENT, MISSOULA, MT 59801(406) 541-3277(406) 541-3950 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2024, Jun 5, 2024, Apr 22, 2024 and 3 more (6 updates tracked since 2016).

About Rocky Mountain Ear Nose & Throat Center Pc NPPES

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

ROCKY MOUNTAIN EAR NOSE & THROAT CENTER PC (NPI 1306857917) is a healthcare organization registered as an otolaryngology in Missoula, Montana and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Kimberly Broe, Cpc, Cppm, Ocs, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1306857917
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameROCKY MOUNTAIN EAR NOSE & THROAT CENTER PC
Location Address700 WEST KENTMissoula, MT 59801-7000
Mailing Address700 West KentMissoula, MT 59801 · (406) 541-3277 · Fax (406) 541-3950
Phone(406) 541-3277
Fax(406) 541-3950
Organization SubpartNo
Authorized OfficialKimberly Broe, Cpc, Cppm, OcsBilling Director · (406) 541-3806
Enumeration DateAugust 10, 2006
Last NPPES UpdateJune 12, 20246 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1306857917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
700 WEST KENT, Missoula, MT 59801
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1120 S 5th St Ste 104Hamilton, MT 59840-2798 · Phone (406) 363-3366 · Fax (406) 541-3811
Location 22760 Elizabeth Warren Ave Ste BButte, MT 59701-3979 · Phone (406) 792-1250 · Fax (406) 541-3811
Location 3925 Highland Blvd Ste 1160Bozeman, MT 59715-6905 · Phone (406) 587-5000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rocky Mountain Ear Nose & Throat Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Rocky Mountain Ear Nose & Throat Center PC, which bills Medicare for the services they deliver. Of these, 12 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Qualified Audiologist7
Otolaryngology6
Qualified Speech Language Pathologist2
Nurse Practitioner1

Clinicians, nearest first (16)

Kevin Duffy, AUD
Qualified Audiologist
NPI 1245756253
700 W KENT AVE
Missoula, MT 59801
(406) 541-3873
✔ Accepts MedicareSame address
Phillip Gardner, MD
Otolaryngology
NPI 1003843897
700 W KENT AVE
Missoula, MT 59801
(406) 541-3277
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Haller, MD
Otolaryngology
NPI 1194712307
700 W KENT AVE
Missoula, MT 59801
(406) 541-3277
✔ PECOS✔ Accepts MedicareSame address
Kassidi Heinle, SLP
Qualified Speech Language Pathologist
NPI 1285489062
700 W KENT AVE
Missoula, MT 59801
(406) 541-3277
✔ Accepts MedicareSame address
Lilly Mccaffrey, AUD
Qualified Audiologist
NPI 1174378095
700 W KENT AVE
Missoula, MT 59801
(406) 541-3277
✔ Accepts MedicareSame address
Luke Obenrader, AUD
Qualified Audiologist
NPI 1285323188
700 W KENT AVE
Missoula, MT 59801
(406) 541-3277
✔ Accepts MedicareSame address
Kate Savage, AU.D.
Qualified Audiologist
NPI 1417337395
700 W KENT AVE
Missoula, MT 59801
(406) 541-3277
✔ Accepts MedicareSame address
Peter Vondoersten, MD
Otolaryngology
NPI 1619962990
700 W KENT AVE
Missoula, MT 59801
(406) 541-3277
✔ PECOS✔ Accepts MedicareSame address
Duncan Watley, MD
Otolaryngology
NPI 1689023038
700 W KENT AVE
Missoula, MT 59801
(406) 541-3277
✔ PECOS✔ Accepts MedicareSame address
Karen Ahlstrom, MD
Otolaryngology
NPI 1922058031
700 W KENT AVE
Missoula, MT 59801
(406) 541-3277
✔ PECOS✔ Accepts MedicareSame address
Jonathan Fowlkes, MD
Otolaryngology
NPI 1720346844
700 W KENT AVE
Missoula, MT 59801
(406) 541-3937
✔ PECOS✔ Accepts MedicareSame address
Jane Reynolds
Qualified Speech Language Pathologist
NPI 1730637075
700 W KENT AVE
Missoula, MT 59801
(406) 541-3277
✔ Accepts MedicareSame address
Emily Yelenich, NP
Nurse Practitioner
NPI 1447737523
2760 ELIZABETH WARREN AVE STE B
Butte, MT 59701
(406) 792-1250
✔ PECOS✔ Accepts Medicare94 mi
Sherri Prisaznik, MA
Qualified Audiologist
NPI 1710048723
410 E YOSEMITE AVE STE B
Merced, CA 95340
(209) 722-9272
✔ Accepts Medicare735 mi
Meghan Safko
Qualified Audiologist
NPI 1376676262
4807 E GREENWAY RD STE 3
Scottsdale, AZ 85254
(480) 674-0633
✔ Accepts Medicare919 mi
Emily Finley, AUD
Qualified Audiologist
NPI 1891977195
4921 PARKVIEW PL 11A
Saint Louis, MO 63110
(314) 362-7489
✔ Accepts Medicare1,327 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2145953

Rocky Mountain Ear, Nose, And Throat Center, PC · Missoula, MT
Active · expires Mar 18, 2028
CLIA Number27D2145953
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorPhillip Gardner
Laboratory Phone(406) 541-4165
Laboratory LocationRocky Mountain Ear, Nose, And Throat Center, PC700 West Kent, Missoula, MT 59801
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 27D2295352

Rocky Mountain Ear, Nose And Throat · Butte, MT
Active · expires Dec 10, 2027
CLIA Number27D2295352
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorDr. Phillip Gardner
Laboratory Phone(406) 214-9694
Laboratory LocationRocky Mountain Ear, Nose And Throat2760 Elizabeth Warren Ave, Butte, MT 59701
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Rocky Mountain Ear Nose & Throat Center PC's NPI number?

The NPI number for Rocky Mountain Ear Nose & Throat Center PC is 1306857917. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Rocky Mountain Ear Nose & Throat Center PC located?

Rocky Mountain Ear Nose & Throat Center PC is located at 700 West Kent, Missoula, MT 59801. The listed phone number is (406) 541-3277.

What is Rocky Mountain Ear Nose & Throat Center PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Rocky Mountain Ear Nose & Throat Center PC enrolled in Medicare?

Yes. Rocky Mountain Ear Nose & Throat Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rocky Mountain Ear Nose & Throat Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Rocky Mountain Ear Nose & Throat Center PC. A 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 the clinician's services. The largest specialties are Qualified Audiologist (7), Otolaryngology (6) and Qualified Speech Language Pathologist (2). Of these, 12 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rocky Mountain Ear Nose & Throat Center PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Rocky Mountain Ear Nose & Throat Center PC accept?

Health plans from Blue Cross and Blue Shield of Montana list Rocky Mountain Ear Nose & Throat Center PC 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 Rocky Mountain Ear Nose & Throat Center PC was last updated on June 12, 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.