DR. THOMAS DAVID MULGREW MD
NPI 1457452070
Psychiatry & Neurology - Neurology in Helena, MT

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
72.45/100
CMS Quality Rating
2525 BROADWAY, SUITE 200, HELENA, MT 59601(406) 457-4343(406) 457-4344 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas David Mulgrew Md NPPES

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

DR. THOMAS DAVID MULGREW MD (NPI 1457452070) is an individual neurology provider in Helena, Montana, licensed in Montana (10628) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1994).

NPPES Registry Identity

NPI1457452070
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. THOMAS DAVID MULGREWCredential: MD
Location Address2525 BROADWAY, SUITE 200Helena, MT 59601
Mailing AddressP.o. Box 6369Helena, MT 59604 · (406) 447-2823 · Fax (406) 447-2825
Fax(406) 457-4344
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1994
Enumeration DateSeptember 26, 2006
Last NPPES UpdateFebruary 19, 2008
NPI 1457452070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MT · 10628
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X · License 10628 (MT)
2525 BROADWAY, Helena, MT 59601

Other Identifiers 3

Medicare UPINH12076MT
Medicaid0142494MT
Other98095MT · Bcbs Of Mt

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

Dr. Thomas David Mulgrew Md 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 ID4486553724
PECOS Enrollment IDI20171121001525
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 4

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 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.
159 services126 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
113 services97 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.
69 services49 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.
21 services19 patients

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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
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.

72.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.58
Promoting Interoperability100
Improvement Activities40
Cost19.92

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers98 claims98 services$42.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers72 claims72 services$104.54 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers82 claims179 services$41.64 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers39 claims186 services$22.77 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers13 claims68 services$16.84 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers66 claims66 services$66.26 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 4

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

Internal Medicine
2525 BROADWAY, STE 201 INTERNAL MEDICINE ASSOCIATES
HELENA, MT 59601
Otolaryngology
2525 BROADWAY, SUITE 105 HELENA EAR NOSE AND THROAT CLINIC
HELENA, MT 59601
Internal Medicine (Gastroenterology)
2525 BROADWAY, SUITE 200
HELENA, MT 59601
Audiologist
2525 BROADWAY, SUITE 105
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 Thomas Mulgrew's NPI number?

The NPI number for Thomas Mulgrew is 1457452070. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Thomas Mulgrew located?

Thomas Mulgrew practices at 2525 Broadway Suite 200, Helena, MT 59601. The listed phone number is (406) 457-4343.

What is Thomas Mulgrew's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Thomas Mulgrew enrolled in Medicare?

Yes. Thomas Mulgrew 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 Thomas Mulgrew accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thomas Mulgrew 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 Thomas Mulgrew was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.