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KARLI EDHOLM M.D.
NPI 1508083122
Internal Medicine in Bozeman, MT

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
80.8/100
CMS Quality Rating
915 HIGHLAND BLVD, BOZEMAN, MT 59715(406) 414-5000 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2025, Apr 9, 2025, Dec 26, 2024 and 2 more (5 updates tracked since 2018).

About Karli Edholm M.d. NPPES

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

KARLI EDHOLM M.D. (NPI 1508083122) is an individual internal medicine provider in Bozeman, Montana, licensed in Montana (MED-PHYS-LIC-64710) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Bozeman Health Deaconess Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (2007).

NPPES Registry Identity

NPI1508083122
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKARLI EDHOLMCredential: M.D.
Location Address915 HIGHLAND BLVDBozeman, MT 59715-6902
Mailing Address915 Highland BlvdBozeman, MT 59715-6902 · (406) 414-5000
Phone(406) 414-5000
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2007
Enumeration DateApril 18, 2007
Last NPPES UpdateNovember 18, 20255 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1508083122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MT · MED-PHYS-LIC-64710
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
915 HIGHLAND BLVD, Bozeman, MT 59715
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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, Mountain Health CO-OP, PacificSource Health Plans 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

Karli Edholm 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 ID6709073323
PECOS Enrollment IDI20180730001607
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 Reassignments

2

Medicare enrollment records show Karli Edholm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bozeman Health Deaconess Hospital
Same address
Emergency Medicine
915 HIGHLAND BLVD
Bozeman, MT 59715
  • Reassigned Medicare billing, Montana enrollment
  • 402 clinicians in this Medicare group
NPI 1437529112 (406) 414-5000
Bozeman Health Big Sky Medical Center, LLC
31 mi
Critical Access
334 TOWN CENTER AVENUE
Big Sky, MT 59716
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1740659952 (Montana)
  • 49 clinicians in this Medicare group
NPI 1588141048 (406) 995-6995

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

Areas of Expertise CMS Part B claims 6

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.

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.
193 services95 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
53 services51 patients
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.
39 services39 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.
27 services13 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.
14 services14 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Bozeman Health Deaconess Hospital

Acute Care Hospitals · Bozeman, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270057
Location915 Highland Blvd Suite 3310Bozeman, MT 59715 · Gallatin County
Emergency services Birthing friendly

Big Sky Medical Center

Critical Access Hospitals · Big Sky, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271389
Location334 Town Center AveBig Sky, MT 59716 · Gallatin County
Emergency services

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.

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.

80.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.76
Promoting Interoperability87
Improvement Activities40
Cost58.08

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers28 claims28 services$18.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$106.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CHRISTOFFER AARON SPOJA D.O.
Internal Medicine
915 HIGHLAND BLVD
BOZEMAN, MT 59715
Gallatin County (406) 414-5000
DR. TORY BETH KATZ MD
Hospitalist
915 HIGHLAND BLVD
BOZEMAN, MT 59715
Gallatin County (405) 551-5050
BOZEMAN HEALTH DEACONESS HOSPITAL
Durable Medical Equipment & Medical Supplies
915 HIGHLAND BLVD
BOZEMAN, MT 59715
Gallatin County (406) 414-5000
LAINE MICHELLE LOBERG PHARM.D
Pharmacist
915 HIGHLAND BLVD
BOZEMAN, MT 59715
Gallatin County (406) 585-1050
MRS. PAMELA JEAN MARCELLA PTA
Physical Therapy Assistant
915 HIGHLAND BLVD
BOZEMAN, MT 59715
Gallatin County (406) 585-1002
MARY D O'ROURKE MD
Internal Medicine
915 HIGHLAND BLVD
BOZEMAN, MT 59715
Gallatin County (406) 414-5000
ERIC SCRANTON PA-C
Physician Assistant
915 HIGHLAND BLVD
BOZEMAN, MT 59715
Gallatin County (406) 585-5000
DR. R JAMES MAJXNER MD
Emergency Medicine
915 HIGHLAND BLVD
BOZEMAN, MT 59715
Gallatin County (406) 585-5000

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 Karli Edholm's NPI number?

The NPI number for Karli Edholm is 1508083122. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Karli Edholm located?

Karli Edholm practices at 915 Highland Blvd, Bozeman, MT 59715. The listed phone number is (406) 414-5000.

What is Karli Edholm's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Karli Edholm enrolled in Medicare?

Yes. Karli Edholm 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.

Which organizations bill Medicare for Karli Edholm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karli Edholm reassigns Medicare benefits to 2 organizations: Bozeman Health Deaconess Hospital (Bozeman, MT) and Bozeman Health Big Sky Medical Center, LLC (Big Sky, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karli Edholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karli Edholm accept?

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

According to CMS data, Karli Edholm is affiliated with Bozeman Health Deaconess Hospital and Big Sky Medical Center.

When was this NPI record last updated?

The NPPES record for Karli Edholm was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.