MS. KELLY POLUS PAC
NPI 1689770919
Physician Assistant in Missoula, MT

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
93.88/100
CMS Quality Rating
610 N CALIFORNIA ST, MISSOULA, MT 59802(406) 721-1646(406) 543-9890 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Kelly Polus Pac NPPES

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

MS. KELLY POLUS PAC (NPI 1689770919) is an individual physician assistant in Missoula, Montana, licensed in Montana (397) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1689770919
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KELLY POLUSCredential: PAC
Location Address610 N CALIFORNIA STMissoula, MT 59802-3950
Mailing Address610 N California StMissoula, MT 59802-3950 · (406) 721-1646 · Fax (406) 543-9890
Fax(406) 543-9890
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 15, 2006
Last NPPES UpdateOctober 7, 2021
NPPES CertifiedOctober 7, 2021
NPI 1689770919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MT · 397
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

610 N CALIFORNIA ST, Missoula, MT 59802

Other Identifiers 1

Medicaid4304604MT

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

Ms. Kelly Polus Pac 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 ID5698701993
PECOS Enrollment IDI20050708000474
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
69 services45 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
64 services41 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage 90686
The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Missoula, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270023
Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula 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.

93.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.36
Promoting Interoperability100
Improvement Activities40
Cost72.75

Reported Quality Measures

Advance Care Plan
68%73 patients3/55-star benchmark: 100%
Breast Cancer Screening
72%148 patients4/55-star benchmark: 93%
Cervical Cancer Screening
72%544 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
39%285 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
66%248 patients4/55-star benchmark: 88%
Diabetes: Eye Exam
34%35 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%35 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%1,395 patients4/55-star benchmark: 100%
e-Prescribing
98%1,807 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
47%503 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%1,127 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 53% · 610 patients
Patients screened: 61% · 610 patients
25%65 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
87%520 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
610 N CALIFORNIA ST
MISSOULA, MT 59802
Counselor (Professional)
610 N CALIFORNIA ST
MISSOULA, MT 59802
Acupuncturist
610 N CALIFORNIA ST
MISSOULA, MT 59802
Family Medicine
610 N CALIFORNIA ST
MISSOULA, MT 59802
Family Medicine
610 N CALIFORNIA ST
MISSOULA, MT 59802
Family Medicine
610 N CALIFORNIA ST
MISSOULA, MT 59802
Social Worker (Clinical)
610 N CALIFORNIA ST
MISSOULA, MT 59802
Health Educator
610 N CALIFORNIA ST
MISSOULA, MT 59802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689770919, enumerated as an "individual" on September 15, 2006.

The provider is located at 610 N CALIFORNIA ST MISSOULA, MT 59802 and the phone number is (406) 721-1646.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Mountain. Please consult your insurance carrier or call the provider to verify.

Kelly Polus is affiliated with: ST. PATRICK HOSPITAL and COMMUNITY MEDICAL CENTER.