JOHN JAMES PICKENS M.D.
NPI 1487793485
Surgery in Missoula, MT

Q: What is John Pickens's NPI number?

The NPI number for John Pickens is 1487793485. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Q: What is John Pickens's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for John Pickens was last updated on November 9, 2021. 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 February 06, 2007PECOS EnrolledAccepts Medicare Assignment

85.43/100

CMS Quality Rating

500 W BROADWAY ST, MISSOULA, MT 59802(406) 329-5825(406) 329-5864 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2021, Jun 22, 2021, Dec 30, 2020 and 1 more (4 updates tracked since 2020).

On this page

About John James Pickens M.d. NPPES

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

JOHN JAMES PICKENS M.D. (NPI 1487793485) is an individual surgery provider in Missoula, Montana, licensed in Montana (12023) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487793485

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJOHN JAMES PICKENSCredential: M.D.

Location Address500 W BROADWAY STMissoula, MT 59802-4008

Mailing AddressPo Box 12Liberty Lake, WA 99019-0012 · (406) 329-5828

Phone(406) 329-5825

Fax(406) 329-5864

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2004

Enumeration DateFebruary 6, 2007

Last NPPES UpdateNovember 9, 20214 updates tracked since enumeration

NPPES CertifiedNovember 9, 2021

✔ NPI 1487793485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MT · 12023

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

500 W BROADWAY ST, Missoula, MT 59802

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Secondary Practice Locations 2

Location 1400 W Porphyry StButte, MT 59701-2312 · Phone (406) 723-0043 · Fax (406) 723-2067

Location 230 Mt Highway 91 SDillon, MT 59725-3535 · Phone (406) 683-1188 · Fax (406) 683-1193

Accepted Insurance

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

John James Pickens 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 ID2769534197

PECOS Enrollment IDI20090716000277

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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

45 services45 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

37 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

14 services12 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270014

Location500 W BroadwayMissoula, MT 59806 · Missoula County

Emergency services Birthing friendly

Deer Lodge Medical Center

Critical Access Hospitals · Deer Lodge, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271314

Location1100 Hollenback LnDeer Lodge, MT 59722 · Powell County

Emergency services

Providence St Joseph Medical Center

Critical Access Hospitals · Polson, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271343

Location6 13th Ave EPolson, MT 59860 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59802 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.

85.43/100

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

Scored as part of a group practice

Quality

85.98

Promoting Interoperability

100

Improvement Activities

Cost

65.45

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.

SIMONE MUSCO MD

Internal Medicine (Clinical Cardiac Electrophysiology)

500 W BROADWAY ST, STE 320
MISSOULA, MT 59802

Missoula County (406) 329-5615

PROVIDENCE HEALTH & SERVICES MT

General Acute Care Hospital

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 543-7271

JAMIE BELKOWSKI PHARMACIST

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 543-7271

DR. DESIREE NICOLE OWSLEY PHARMD

Pharmacist (Pharmacotherapy)

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 327-1650

JEANNIE H SWAIN PHARMD

Pharmacist (Pharmacotherapy)

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 329-5721

HEATHER HIGHTOWER NP

Nurse Practitioner (Family)

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 728-2539

MR. CURTIS G WICKRE MD

Internal Medicine (Nephrology)

500 W BROADWAY ST, 4TH FLOOR
MISSOULA, MT 59802

Missoula County (406) 327-1900

DR. TRAVIS OWEN ABICHT MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 329-5615

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 John Pickens's NPI number?

The NPI number for John Pickens is 1487793485. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is John Pickens located?

John Pickens practices at 500 W Broadway St, Missoula, MT 59802. The listed phone number is (406) 329-5825.

What is John Pickens's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Pickens enrolled in Medicare?

Yes. John Pickens 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 John Pickens accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list John Pickens 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 John Pickens affiliated with any hospitals?

According to CMS data, John Pickens is affiliated with St. Patrick Hospital, Deer Lodge Medical Center and Providence St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for John Pickens was last updated on November 9, 2021. 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.