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DR. DEBRA ANNE KONTNY DO
NPI 1346276516
Surgery in Helena, MT

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
65.45/100
CMS Quality Rating
3130 SADDLE DR, SUITE 2, HELENA, MT 59601(406) 513-1962 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Debra Anne Kontny Do NPPES

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

DR. DEBRA ANNE KONTNY DO (NPI 1346276516) is an individual surgery provider in Helena, Montana, licensed in Montana (11311) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Michigan State University College Of Osteopathic Medicine (1989).

NPPES Registry Identity

NPI1346276516
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. DEBRA ANNE KONTNYCredential: DO
Location Address3130 SADDLE DR, SUITE 2Helena, MT 59601-8637
Mailing Address3130 Saddle Dr, Suite 2Helena, MT 59601-8637 · (406) 513-1962
Phone(406) 513-1962
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1989
Enumeration DateJune 23, 2006
Last NPPES UpdateJune 26, 2015
✔ NPI 1346276516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MT · 11311✔ Licensed in AZ · 3102✔ Licensed in WA · OP00001682✔ Licensed in ID · O-0417
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3130 SADDLE DR, Helena, MT 59601
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Other Identifiers 2

Medicare UPING39559AZ
Medicaid349416AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc. and more.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. Debra Anne Kontny Do 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 ID1759343254
PECOS Enrollment IDI20070815000321, I20160322000814
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 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.
34 services22 patients
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.
30 services19 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.
22 services22 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.
15 services14 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.
13 services13 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 59601 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
$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.

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.

65.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.83
Promoting Interoperability100
Improvement Activities40
Cost10

Other Providers at the Same Location NPPES

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

MOUNTAIN SURGICAL ARTS PC
Surgery
3130 SADDLE DR, SUITE 2
HELENA, MT 59601
Lewis And Clark County (406) 513-1962

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 Debra Kontny's NPI number?

The NPI number for Debra Kontny is 1346276516. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Debra Kontny located?

Debra Kontny practices at 3130 Saddle Dr Suite 2, Helena, MT 59601. The listed phone number is (406) 513-1962.

What is Debra Kontny's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Debra Kontny enrolled in Medicare?

Yes. Debra Kontny 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 Debra Kontny accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 2 other insurers list Debra Kontny 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 Debra Kontny affiliated with any hospitals?

According to CMS data, Debra Kontny is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Debra Kontny was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.