MARK PIEDRA M.D.
NPI 1457567703
Neurological Surgery in Billings, MT

Q: What is Mark Piedra's NPI number?

The NPI number for Mark Piedra is 1457567703. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Mark Piedra's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Piedra was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment

94.3/100

CMS Quality Rating

801 N 29TH ST, BILLINGS, MT 59101(406) 238-2500 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mark Piedra M.d. NPPES

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

MARK PIEDRA M.D. (NPI 1457567703) is an individual neurological surgery provider in Billings, Montana, licensed in Montana (25655) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Mayo Medical School (2016).

NPPES Registry Identity

NPI1457567703

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameMARK PIEDRACredential: M.D.

Location Address801 N 29TH STBillings, MT 59101-0905

Mailing AddressPo Box 35100Billings, MT 59107-5100 · (406) 238-2500

Phone(406) 238-2500

Sole ProprietorYes

Medical School CMSMayo Medical SchoolGraduated 2016

Enumeration DateMay 15, 2007

Last NPPES UpdateFebruary 22, 2022

NPPES CertifiedFebruary 22, 2022

✔ NPI 1457567703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in MT · 25655

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

801 N 29TH ST, Billings, MT 59101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP 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

Mark Piedra M.d. 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 ID941455521

PECOS Enrollment IDI20130716000501, I20210520002073

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 10

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.

66 services62 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.

33 services33 patients

Computer-assisted radiosurgery of simple growth of brain, each additional growth 61797

Computer-assisted radiosurgery is a non-invasive treatment for brain growths. It uses precise beams of radiation to target and destroy each growth without harming surrounding healthy tissue. For each additional growth, the process is repeated.

32 services12 patients

Computer-assisted radiosurgery application of headframe 61800

Computer-assisted radiosurgery with a headframe is a non-invasive procedure that treats brain conditions. A headframe is attached to your head to keep it still during treatment. Using advanced computer technology, precise high-dose radiation beams target the affected area without harming healthy tissues.

29 services26 patients

Computer-assisted radiosurgery of simple growth of brain, first growth 61796

Computer-assisted radiosurgery is a non-invasive treatment for brain growths. High-energy radiation beams are precisely targeted at the growth, destroying abnormal cells. This method is often used for the first growth, reducing risks associated with traditional surgery.

23 services20 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.

21 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Livingston Healthcare

Critical Access Hospitals · Livingston, MT

3/5 CMS rating

OwnershipPhysician

CMS Certification Number271317

Location320 Alpenglow LaneLivingston, MT 59047 · Park County

Emergency services

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number530006

Location1401 W 5th StSheridan, WY 82801 · Sheridan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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

$70.82 typical visit price

range $18.24 – $140.32

Typical copayment $17.70 (range $4.56 – $35.08)

Most-billed visit code 99213

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.

94.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.58

Promoting Interoperability

100

Improvement Activities

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.

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