ORTHOPEDIC SURGICAL CENTER OF MONTANA, LLC
NPI 1346771383
Clinic/Center - Ambulatory Surgical in Bozeman, MT

Active since March 22, 2017CLIA 27D2141517 · Waiver
536 S COTTONWOOD RD, STE. 100, BOZEMAN, MT 59718(406) 586-8029 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Orthopedic Surgical Center Of Montana, Llc NPPES

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

ORTHOPEDIC SURGICAL CENTER OF MONTANA, LLC (NPI 1346771383) is a healthcare organization registered as an ambulatory surgical in Bozeman, Montana and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through December 13, 2027 and lists Mark Deibert, President, as its authorized official.

NPPES Registry Identity

NPI1346771383
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameORTHOPEDIC SURGICAL CENTER OF MONTANA, LLC
Location Address536 S COTTONWOOD RD, STE. 100Bozeman, MT 59718-9515
Mailing Address536 S Cottonwood Rd, Ste. 100Bozeman, MT 59718-9515
Organization SubpartNo
Authorized OfficialMark DeibertPresident · (406) 581-9765
Enumeration DateMarch 22, 2017
NPI 1346771383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
536 S COTTONWOOD RD, Bozeman, MT 59718

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 27D2141517

Orthopedic Surgical Center Of Montana, LLC, The · Bozeman, MT
Active · expires Dec 13, 2027
CLIA Number27D2141517
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorPeter M. Kelleher
Laboratory Phone(406) 586-8029
Laboratory LocationOrthopedic Surgical Center Of Montana, LLC, The536 S Cottonwood Rd, Suite 102, Bozeman, MT 59718
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Repair of knee joint with drilling and or scraping of joint using an endoscope 29879
This is a minimally invasive procedure where an endoscope, a small camera, is inserted into the knee joint. The surgeon then drills or scrapes the joint to remove any damaged tissue or bone. This can help improve mobility and reduce pain.
30 services29 patients
Removal of both knee cartilages using an endoscope 29880
This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.
30 services28 patients
Anchoring of biceps tendon 23430
Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.
18 services18 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
18 services14 patients
Removal of extensive shoulder joint tissue using an endoscope 29823
This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.
13 services13 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
13 services13 patients

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner
536 S COTTONWOOD RD
BOZEMAN, MT 59718
Clinic/Center (Occupational Medicine)
536 S COTTONWOOD RD
BOZEMAN, MT 59718
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
536 S COTTONWOOD RD
BOZEMAN, MT 59718
Specialist/Technologist (Athletic Trainer)
536 S COTTONWOOD RD, SUITE 100
BOZEMAN, MT 59718
Specialist/Technologist
536 S COTTONWOOD RD, #100
BOZEMAN, MT 59718

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 Orthopedic Surgical Center Of Montana, LLC's NPI number?

The NPI number for Orthopedic Surgical Center Of Montana, LLC is 1346771383. It was assigned to this organization in the NPPES registry on March 22, 2017.

Where is Orthopedic Surgical Center Of Montana, LLC located?

Orthopedic Surgical Center Of Montana, LLC is located at 536 S Cottonwood Rd Ste. 100, Bozeman, MT 59718. The listed phone number is (406) 586-8029.

What is Orthopedic Surgical Center Of Montana, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Orthopedic Surgical Center Of Montana, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2141517) is associated with this NPI, valid through December 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Orthopedic Surgical Center Of Montana, LLC accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Orthopedic Surgical Center Of Montana, LLC 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 Orthopedic Surgical Center Of Montana, LLC was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.