MISSOULA BONE & JOINT, LLC
NPI 1447207212
Orthopaedic Surgery in Missoula, MT

Active since May 27, 2006CLIA Certified · 2 labs
2360 MULLAN RD, SUITE C, MISSOULA, MT 59808(406) 721-4436(406) 721-6053 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Missoula Bone & Joint, Llc NPPES

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

MISSOULA BONE & JOINT, LLC (NPI 1447207212) is a healthcare organization registered as an orthopaedic surgery in Missoula, Montana and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Samantha Spencer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447207212
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMISSOULA BONE & JOINT, LLC
Location Address2360 MULLAN RD, SUITE CMissoula, MT 59808-1811
Mailing Address2360 Mullan Rd, Suite CMissoula, MT 59808-1811 · (406) 721-4436 · Fax (406) 721-6053
Fax(406) 721-6053
Organization SubpartNo
Authorized OfficialSamantha SpencerAdministrator · (406) 721-4436
Enumeration DateMay 27, 2006
Last NPPES UpdateDecember 3, 2015
✔ NPI 1447207212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
2360 MULLAN RD, Missoula, MT 59808

Other Identifiers 2

Medicare PIN000081217MT
Medicare NSC1283650001MT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Missoula Bone & Joint, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMontanaEnrollment IDO20100930016099DME · Physician - Orthopedic/Orthopedic SurgeryDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to Missoula Bone & Joint, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Orthopedic Surgery14
Physical Therapist in Private Practice12
Anesthesiology8
Nurse Practitioner3
Hand Surgery2
Occupational Therapist in Private Practice2
Physical Medicine and Rehabilitation1
Sports Medicine1

Nearest to this location (20)

See all 43
Orthopedic Surgery
NPI 1649259441
2360 MULLAN RD SUITE C
Missoula, MT 59808
(406) 721-4436
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1588079016
2360 MULLAN RD SUITE C
Missoula, MT 59808
(406) 721-4436
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1396724159
2360 MULLAN RD SUITE C
Missoula, MT 59808
(406) 721-4436
✔ PECOSSame address
Orthopedic Surgery
NPI 1497734909
2360 MULLAN RD SUITE C
Missoula, MT 59808
(406) 721-4436
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1669969739
2360 MULLAN RD STE C
Missoula, MT 59808
(406) 721-4436
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1992049993
2360 MULLAN RD STE C
Missoula, MT 59808
(406) 721-4436
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1356320246
2360 MULLAN RD SUITE C
Missoula, MT 59808
(406) 721-4436
✔ PECOSSame address
Physical Therapist in Private Practice
NPI 1659018273
2360 MULLAN RD STE C
Missoula, MT 59808
(406) 721-4436
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1578949350
2360 MULLAN RD STE D
Missoula, MT 59808
(406) 542-4702
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1548255540
2360 MULLAN RD STE C
Missoula, MT 59808
(406) 721-4436
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1235877283
2360 MULLAN RD STE C
Missoula, MT 59808
(406) 542-4702
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1366685166
2360 MULLAN RD STE C
Missoula, MT 59808
(406) 721-4436
✔ PECOS✔ Accepts MedicareSame address
Hand Surgery
NPI 1174502017
2360 MULLAN RD SUITE C
Missoula, MT 59808
(406) 721-4436
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1720222508
2360 MULLAN RD STE C
Missoula, MT 59808
(406) 721-4436
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1861807240
2360 MULLAN RD STE B
Missoula, MT 59808
(406) 542-4702
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1174968416
2360 MULLAN RD STE C
Missoula, MT 59808
(406) 721-4436
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1679243695
2360 MULLAN RD STE C
Missoula, MT 59808
(406) 721-4436
✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1295878890
2360 MULLAN RD STE C
Missoula, MT 59808
(406) 721-4436
✔ PECOS✔ Accepts Medicare0.1 mi
Occupational Therapist in Private Practice
NPI 1841633583
2360 MULLAN RD STE D
Missoula, MT 59808
(406) 542-4702
✔ Accepts Medicare0.1 mi
Hand Surgery
NPI 1619929635
2360 MULLAN RD SUITE C.
Missoula, MT 59808
(406) 721-4436
✔ PECOS✔ Accepts Medicare0.1 mi
See all 43 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 27D0992739

Missoula Bone & Joint Surgery Center · Missoula, MT
Active · expires Oct 23, 2027
CLIA Number27D0992739
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorCharles L. Sullivan
Laboratory Phone(406) 721-4436
Laboratory LocationMissoula Bone & Joint Surgery Center2360 Mullan Road, Suite B, Missoula, MT 59802
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 27D2168502

Missoula Bone & Joint, LLC · Missoula, MT
Active · expires Jul 1, 2027
CLIA Number27D2168502
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorSami Spencer
Laboratory Phone(406) 721-4436
Laboratory LocationMissoula Bone & Joint, LLC2360 Mullan Rd Ste C, Missoula, MT 59808
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Missoula Bone & Joint, LLC's NPI number?

The NPI number for Missoula Bone & Joint, LLC is 1447207212. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Missoula Bone & Joint, LLC located?

Missoula Bone & Joint, LLC is located at 2360 Mullan Rd Suite C, Missoula, MT 59808. The listed phone number is (406) 721-4436.

What is Missoula Bone & Joint, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Missoula Bone & Joint, LLC enrolled in Medicare?

Yes. Missoula Bone & Joint, LLC is registered in the Medicare PECOS enrollment system.

When is Missoula Bone & Joint, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Montana, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Missoula Bone & Joint, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 8 Medicare specialties reassign their Medicare billing to Missoula Bone & Joint, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (14), Physical Therapist in Private Practice (12) and Anesthesiology (8). Of these, 4 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Missoula Bone & Joint, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Missoula Bone & Joint, LLC accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Missoula Bone & Joint, 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 Missoula Bone & Joint, LLC was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.