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KATY WESSEL D.O.
NPI 1437368487
Family Medicine in Helena, MT

Active since May 22, 2007PECOS 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: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2018, Dec 8, 2017 (2 updates tracked since 2017).

About Katy Wessel D.o. NPPES

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

KATY WESSEL D.O. (NPI 1437368487) is an individual family medicine provider in Helena, Montana, licensed in Montana (11819) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1437368487
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATY WESSELCredential: D.O.
Location Address3330 PTARMIGAN LNHelena, MT 59602-0521
Mailing AddressPo Box 6369Helena, MT 59604-6369 · (406) 457-4180
Phone(406) 457-4180
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMay 22, 2007
Last NPPES UpdateMarch 28, 20182 updates tracked since enumeration
✔ NPI 1437368487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MT · 11819
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License LL16043 (OR)
3330 PTARMIGAN LN, Helena, MT 59602
Open in Google Maps ↗

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 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

Katy Wessel D.o. 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 ID2163598871
PECOS Enrollment IDI20080904000005
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.
417 services253 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.
233 services233 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.
90 services74 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.
62 services55 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
59 services56 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
19 services19 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 17

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
3 suppliers18 claims36 services$5.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims13 services$0.88 avg. paid by Medicare
Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4311
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$7.11 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$3.05 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers40 claims40 services$41.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers23 claims23 services$103.58 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.

LAURA BENNETT P.A.
Physician Assistant (Medical)
3330 PTARMIGAN LN
HELENA, MT 59602
Lewis And Clark County (406) 457-4180
ALISON GRACE AMY
Nurse Practitioner (Family)
3330 PTARMIGAN LN
HELENA, MT 59602
Lewis And Clark County (406) 447-2823
KILEY B KIRKSEY M.D.
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Lewis And Clark County (406) 457-4180
DANIEL E HESSKAMP MD
Internal Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Lewis And Clark County (406) 442-3570
EMILY HEDUM DO
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Lewis And Clark County (406) 457-4180
DR. EARL E BOOK M.D.
Family Medicine
3330 PTARMIGAN LN
HELENA, MT 59602
Lewis And Clark County (406) 457-4180
MICHAEL LEE M.D.
Internal Medicine (Gastroenterology)
3330 PTARMIGAN LN
HELENA, MT 59602
Lewis And Clark County (406) 457-4180
KRISTINA PRITCHARD LCSW
Social Worker (Clinical)
3330 PTARMIGAN LN
HELENA, MT 59602
Lewis And Clark County (406) 457-4180

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 Katy Wessel's NPI number?

The NPI number for Katy Wessel is 1437368487. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Katy Wessel located?

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

What is Katy Wessel's specialty?

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

Is Katy Wessel enrolled in Medicare?

Yes. Katy Wessel 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 Katy Wessel accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Katy Wessel 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 Katy Wessel affiliated with any hospitals?

According to CMS data, Katy Wessel is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Katy Wessel was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.