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

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: August 09, 2026.

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

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
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

Other Names 1

Other Name (5)Ty Reidenbaugh

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

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.

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.

In Home Supportive Care
5 W MENDENHALL ST
BOZEMAN, MT 59715
Home Health
5 W MENDENHALL ST
BOZEMAN, MT 59715
Counselor (Professional)
5 W MENDENHALL ST
BOZEMAN, MT 59715
Home Health
5 W MENDENHALL ST
BOZEMAN, MT 59715
Durable Medical Equipment & Medical Supplies
5 W MENDENHALL ST
BOZEMAN, MT 59715
Durable Medical Equipment & Medical Supplies
5 W MENDENHALL ST
BOZEMAN, MT 59715
Home Health
5 W MENDENHALL ST
BOZEMAN, MT 59715

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 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.

Where is Robert Reidenbaugh located?

Robert Reidenbaugh practices at 5 W Mendenhall St Ste 202, Bozeman, MT 59715. The listed phone number is (406) 219-7233.

What is Robert Reidenbaugh's specialty?

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

Is Robert Reidenbaugh enrolled in Medicare?

Yes. Robert Reidenbaugh 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 Robert Reidenbaugh accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans list Robert Reidenbaugh 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 Robert Reidenbaugh was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.