MARY MIDDAGH N.P.
NPI 1396279709
Nurse Practitioner - Family in Helena, MT

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1645 VANDELAY AVE STE 301, HELENA, MT 59601(406) 389-2520 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2025, Mar 10, 2025, Apr 8, 2024 and 3 more (6 updates tracked since 2017).

About Mary Middagh N.p. NPPES

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

MARY MIDDAGH N.P. (NPI 1396279709) is an individual family provider in Helena, Montana, licensed in Montana (131755) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396279709
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MIDDAGHCredential: N.P.
Location Address1645 VANDELAY AVE STE 301Helena, MT 59601-3929
Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 455-5000 · Fax (406) 731-8318
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 13, 2017
Last NPPES UpdateApril 4, 20256 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
NPI 1396279709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MT · 131755
1645 VANDELAY AVE STE 301, Helena, MT 59601

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

Mary Middagh N.p. 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 ID3072883909
PECOS Enrollment IDI20181004001159
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 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.
154 services113 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.
148 services109 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.
57 services48 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.
31 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
21 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Benefis Teton Medical Center

Critical Access Hospitals · Choteau, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271307
Location915 4th St NWChoteau, MT 59422 · Teton County
Emergency services

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
$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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Other Providers at the Same Location NPPES 12

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

Family Medicine
1645 VANDELAY AVE STE 301
HELENA, MT 59601
Physical Medicine & Rehabilitation (Pain Medicine)
1645 VANDELAY AVE STE 301
HELENA, MT 59601
Physician Assistant
1645 VANDELAY AVE STE 301
HELENA, MT 59601
Family Medicine
1645 VANDELAY AVE STE 301
HELENA, MT 59601
Family Medicine
1645 VANDELAY AVE STE 301
HELENA, MT 59601
Physician Assistant
1645 VANDELAY AVE STE 301
HELENA, MT 59601
Internal Medicine
1645 VANDELAY AVE STE 301
HELENA, MT 59601
Orthopaedic Surgery
1645 VANDELAY AVE STE 301
HELENA, MT 59601

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 Mary Middagh's NPI number?

The NPI number for Mary Middagh is 1396279709. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Mary Middagh located?

Mary Middagh practices at 1645 Vandelay Ave Ste 301, Helena, MT 59601. The listed phone number is (406) 389-2520.

What is Mary Middagh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Middagh enrolled in Medicare?

Yes. Mary Middagh 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 Mary Middagh accept?

Health plans from Blue Cross and Blue Shield of Montana and Providence Health Plan list Mary Middagh 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 Mary Middagh affiliated with any hospitals?

According to CMS data, Mary Middagh is affiliated with St Peters Health, Benefis Hospitals Inc and Benefis Teton Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Middagh was last updated on April 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.