MR. ROBERT TYLER REIDENBAUGH MD
NPI 1487097762
Psychiatry & Neurology - Addiction Medicine in Bozeman, MT

Q: What is Robert Reidenbaugh's NPI number?

The NPI number for Robert Reidenbaugh is 1487097762. It was assigned to this individual provider in the NPPES registry on April 16, 2013. The provider is also known as Ty Reidenbaugh.

Q: What is Robert Reidenbaugh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment

5 W MENDENHALL ST, STE 202, BOZEMAN, MT 59715(406) 219-7233 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 27, 2023, Mar 31, 2020, Aug 8, 2019 and 1 more (4 updates tracked since 2018).

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About Mr. Robert Tyler Reidenbaugh Md NPPES

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

MR. ROBERT TYLER REIDENBAUGH MD (NPI 1487097762) is an individual addiction medicine provider in Bozeman, Montana, licensed in Montana (MEDPHYSCOMLIC114707) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2013).

NPPES Registry Identity

NPI1487097762

Entity TypeIndividualMale

Primary Taxonomy2084A0401X

Provider Legal NameMR. ROBERT TYLER REIDENBAUGHCredential: MD

Location Address5 W MENDENHALL ST, STE 202Bozeman, MT 59715

Mailing AddressPo Box 4369Boise, ID 83711-4369 · (208) 810-2310

Phone(406) 219-7233

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 2013

Enumeration DateApril 16, 2013

Last NPPES UpdateFebruary 27, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2023

✔ NPI 1487097762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084A0401X

License✔ Licensed in MT · MEDPHYSCOMLIC114707

Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

5 W MENDENHALL ST, Bozeman, MT 59715

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Other Names 1

Other Name (5)Ty Reidenbaugh

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Robert Tyler Reidenbaugh 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 ID840593927

PECOS Enrollment IDI20230223002404

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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Reidenbaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

406 Recovery Inc

12 mi

Addiction Medicine

5 W MENDENHALL ST STE 202
Bozeman, MT 59715

Reassigned Medicare billing, Montana enrollment
12 clinicians in this Medicare group

NPI 1023745247 (406) 219-7233

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59715 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.

Other Providers at the Same Location NPPES 7

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

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