DR. DAVID GRANT MULHOLLAND M.D.
NPI 1346274214
Family Medicine in Helena, MT

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
3330 PTARMIGAN LN, HELENA, MT 59602(406) 457-4180 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David Grant Mulholland M.d. NPPES

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

DR. DAVID GRANT MULHOLLAND M.D. (NPI 1346274214) is an individual family medicine provider in Helena, Montana, licensed in Montana (126911) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1993).

NPPES Registry Identity

NPI1346274214
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID GRANT MULHOLLANDCredential: M.D.
Location Address3330 PTARMIGAN LNHelena, MT 59602-0521
Mailing AddressPo Box 6369Helena, MT 59604-6369 · (406) 457-4180
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1993
Enumeration DateJuly 10, 2006
Last NPPES UpdateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
NPI 1346274214 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 · 126911 Licensed in NC · 9401278
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.
3330 PTARMIGAN LN, Helena, MT 59602

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

Dr. David Grant Mulholland 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 ID7719014067
PECOS Enrollment IDI20231018000364
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 7

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 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.
942 services493 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
181 services181 patients
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.
33 services31 patients
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296
This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.
28 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 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.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59602 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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.22
Promoting Interoperability100
Improvement Activities40
Cost64.88

Referred Medical Equipment & Supplies CMS DME claims 16

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims72 services$5.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims22 services$1.03 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers16 claims16 services$77.32 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers15 claims31 services$31.01 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers19 claims19 services$51.33 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers25 claims25 services$15.26 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.

Physician Assistant (Medical)
3330 PTARMIGAN LN
HELENA, MT 59602
Nurse Practitioner (Family)
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Internal Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Internal Medicine (Gastroenterology)
3330 PTARMIGAN LN
HELENA, MT 59602
Social Worker (Clinical)
3330 PTARMIGAN LN
HELENA, MT 59602

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 David Mulholland's NPI number?

The NPI number for David Mulholland is 1346274214. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is David Mulholland located?

David Mulholland practices at 3330 Ptarmigan Ln, Helena, MT 59602. The listed phone number is (406) 457-4180.

What is David Mulholland's specialty?

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

Is David Mulholland enrolled in Medicare?

Yes. David Mulholland 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 David Mulholland accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list David Mulholland 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 David Mulholland affiliated with any hospitals?

According to CMS data, David Mulholland is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for David Mulholland was last updated on September 21, 2023. 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.