ZALE KAUPISH
NPI 1457828337
Physician Assistant in Great Falls, MT

Active since October 29, 2018PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1401 25TH ST S, GREAT FALLS, MT 59405(406) 731-8888 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Apr 2, 2021, Jul 18, 2019 and 3 more (6 updates tracked since 2018).

About Zale Kaupish NPPES

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

ZALE KAUPISH (NPI 1457828337) is an individual physician assistant in Great Falls, Montana and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457828337
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameZALE KAUPISH
Location Address1401 25TH ST SGreat Falls, MT 59405-5183
Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 731-8888 · Fax (406) 731-8876
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 29, 2018
Last NPPES UpdateApril 8, 20246 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1457828337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1401 25TH ST S, Great Falls, MT 59405

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

Zale Kaupish 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 ID9335488121
PECOS Enrollment IDI20190221001592
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 8

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.
230 services188 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
138 services93 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.
92 services85 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
90 services90 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
53 services50 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.
44 services44 patients

Hospital Affiliations CMS Care Compare 2

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

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

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$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.

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 20

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

Nurse Practitioner (Family)
1401 25TH ST S
GREAT FALLS, MT 59405
Internal Medicine (Infectious Disease)
1401 25TH ST S
GREAT FALLS, MT 59405
Emergency Medicine
1401 25TH ST S
GREAT FALLS, MT 59405
Physician Assistant
1401 25TH ST S
GREAT FALLS, MT 59405
Nurse Practitioner (Family)
1401 25TH ST S
GREAT FALLS, MT 59405
Urology
1401 25TH ST S
GREAT FALLS, MT 59405
Physical Therapy Assistant
1401 25TH ST S
GREAT FALLS, MT 59405
Psychiatry & Neurology (Neurology)
1401 25TH ST S
GREAT FALLS, MT 59405

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 Zale Kaupish's NPI number?

The NPI number for Zale Kaupish is 1457828337. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Zale Kaupish located?

Zale Kaupish practices at 1401 25th St S, Great Falls, MT 59405. The listed phone number is (406) 731-8888.

What is Zale Kaupish's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Zale Kaupish enrolled in Medicare?

Yes. Zale Kaupish 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 Zale Kaupish accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Zale Kaupish 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 Zale Kaupish affiliated with any hospitals?

According to CMS data, Zale Kaupish is affiliated with Benefis Hospitals Inc and Great Falls Clinic Hospital.

When was this NPI record last updated?

The NPPES record for Zale Kaupish was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.