DR. ERIK BERGQUIST M.D.
NPI 1740406412
Orthopaedic Surgery in Helena, MT

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2442 WINNE AVE, HELENA, MT 59601(425) 223-0049 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Erik Bergquist M.d. NPPES

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

DR. ERIK BERGQUIST M.D. (NPI 1740406412) is an individual orthopaedic surgery provider in Helena, Montana, licensed in Montana (MED-PHYS-LIC-25781) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with St Peters Health, and is a graduate of Geisel School Of Medicine At Dartmouth (2007).

NPPES Registry Identity

NPI1740406412
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ERIK BERGQUISTCredential: M.D.
Location Address2442 WINNE AVEHelena, MT 59601-4921
Mailing Address2442 Winne AveHelena, MT 59601-0001 · (425) 223-0049
Sole ProprietorYes
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2007
Enumeration DateApril 18, 2007
Last NPPES UpdateMay 3, 2013
NPI 1740406412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MT · MED-PHYS-LIC-25781
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2442 WINNE AVE, 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. Erik Bergquist 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 ID5193955029
PECOS Enrollment IDI20140220000659
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 23

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
282 services31 patients
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.
267 services217 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
180 services53 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
137 services99 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
120 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
114 services97 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic Broadwater

Critical Access Hospitals · Townsend, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271333
Location110 N Oak StTownsend, MT 59644 · Broadwater County
Emergency services

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 3

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$80.60 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier35 claims40 services$27.46 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier20 claims23 services$19.74 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 12

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

Occupational Therapist (Hand)
2442 WINNE AVE
HELENA, MT 59601
Physician Assistant
2442 WINNE AVE
HELENA, MT 59601
Physician Assistant (Medical)
2442 WINNE AVE
HELENA, MT 59601
Physician Assistant
2442 WINNE AVE
HELENA, MT 59601
Physician Assistant (Medical)
2442 WINNE AVE
HELENA, MT 59601
Physician Assistant
2442 WINNE AVE
HELENA, MT 59601
Physical Medicine & Rehabilitation (Sports Medicine)
2442 WINNE AVE
HELENA, MT 59601
Specialist/Technologist (Athletic Trainer)
2442 WINNE AVE
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 Erik Bergquist's NPI number?

The NPI number for Erik Bergquist is 1740406412. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Erik Bergquist located?

Erik Bergquist practices at 2442 Winne Ave, Helena, MT 59601. The listed phone number is (425) 223-0049.

What is Erik Bergquist's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Erik Bergquist enrolled in Medicare?

Yes. Erik Bergquist 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 Erik Bergquist accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Erik Bergquist 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 Erik Bergquist affiliated with any hospitals?

According to CMS data, Erik Bergquist is affiliated with St Peters Health and Billings Clinic Broadwater.

When was this NPI record last updated?

The NPPES record for Erik Bergquist was last updated on May 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.