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DR. POLLY PETERSON PHD
NPI 1316324700
Psychologist - Clinical in Butte, MT

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment
125 W GRANITE ST STE 212, BUTTE, MT 59701(406) 560-3097 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Polly Peterson Phd NPPES

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

DR. POLLY PETERSON PHD (NPI 1316324700) is an individual clinical provider in Butte, Montana, licensed in Montana (PSY-PSY-LIC-337) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1316324700
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. POLLY PETERSONCredential: PHD
Location Address125 W GRANITE ST STE 212Butte, MT 59701-9215
Mailing AddressPo Box 448Anaconda, MT 59711-0448 · (406) 560-3097
Phone(406) 560-3097
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateMay 5, 2015
Last NPPES UpdateApril 1, 2016
✔ NPI 1316324700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MT · PSY-PSY-LIC-337
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
125 W GRANITE ST STE 212, Butte, MT 59701
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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, PacificSource Health Plans.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

Dr. Polly Peterson Phd 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 ID7618303744
PECOS Enrollment IDI20200321000590
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.

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
$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.

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 Polly Peterson's NPI number?

The NPI number for Polly Peterson is 1316324700. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Polly Peterson located?

Polly Peterson practices at 125 W Granite St Ste 212, Butte, MT 59701. The listed phone number is (406) 560-3097.

What is Polly Peterson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Polly Peterson enrolled in Medicare?

Yes. Polly Peterson 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 Polly Peterson accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans list Polly Peterson 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 Polly Peterson was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.