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DR. ERIK W. VILEN MD
NPI 1518120237
Family Medicine in Helena, MT

Active since July 02, 2008Opted out of Medicare · through Apr 1, 2027
4126 SPRING HILL RD, HELENA, MT 59601(406) 839-3226 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Erik W. Vilen Md NPPES

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

DR. ERIK W. VILEN MD (NPI 1518120237) is an individual family medicine provider in Helena, Montana, licensed in Montana (79769) and active in the NPI registry since July 2008. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1518120237
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERIK W. VILENCredential: MD
Location Address4126 SPRING HILL RDHelena, MT 59601-6689
Mailing Address4126 Spring Hill RdHelena, MT 59601-6689 · (406) 839-3226 · Fax (218) 546-4402
Phone(406) 839-3226
Sole ProprietorNo
Enumeration DateJuly 2, 2008
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1518120237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MT · 79769
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4126 SPRING HILL RD, Helena, MT 59601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Erik W. Vilen Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59601 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
$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

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

DR. JANNA J VILEN MD
Family Medicine (Sports Medicine)
4126 SPRING HILL RD
HELENA, MT 59601
Lewis And Clark County (651) 270-6452

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 Erik Vilen's NPI number?

The NPI number for Erik Vilen is 1518120237. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Erik Vilen located?

Erik Vilen practices at 4126 Spring Hill Rd, Helena, MT 59601. The listed phone number is (406) 839-3226.

What is Erik Vilen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Erik Vilen enrolled in Medicare?

No. Erik Vilen has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Erik Vilen accept?

Health plans from Medica list Erik Vilen 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 Erik Vilen was last updated on October 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.