DR. ALISSA D ABENTROTH MD
NPI 1689752255
Surgery in Helena, MT

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
2525 E BROADWAY ST STE 200, HELENA, MT 59601(406) 457-4180 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alissa D Abentroth Md NPPES

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

DR. ALISSA D ABENTROTH MD (NPI 1689752255) is an individual surgery provider in Helena, Montana, licensed in Montana (12802) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1689752255
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. ALISSA D ABENTROTHCredential: MD
Location Address2525 E BROADWAY ST STE 200Helena, MT 59601-8049
Mailing Address2525 E Broadway St Ste 200Helena, MT 59601-8049 · (406) 457-4180
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 10, 2018
NPI 1689752255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MT · 12802
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.

2525 E BROADWAY ST STE 200, Helena, MT 59601

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

Dr. Alissa D Abentroth 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 ID3577582709
PECOS Enrollment IDI20120508000718
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services111 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services26 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

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
$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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.22
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES

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

Surgery
2525 E BROADWAY ST STE 200
HELENA, MT 59601

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 Alissa Abentroth's NPI number?

The NPI number for Alissa Abentroth is 1689752255. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Alissa Abentroth located?

Alissa Abentroth practices at 2525 E Broadway St Ste 200, Helena, MT 59601. The listed phone number is (406) 457-4180.

What is Alissa Abentroth's specialty?

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

Is Alissa Abentroth enrolled in Medicare?

Yes. Alissa Abentroth 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 Alissa Abentroth accept?

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

According to CMS data, Alissa Abentroth is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Alissa Abentroth was last updated on September 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.