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JUSTEN RUDOLPH M.D.
NPI 1780609610
Internal Medicine in Billings, MT

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
2900 12TH AVE N, SUITE 160W, BILLINGS, MT 59101(406) 237-8500(416) 237-8501 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justen Rudolph M.d. NPPES

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

JUSTEN RUDOLPH M.D. (NPI 1780609610) is an individual internal medicine provider in Billings, Montana, licensed in Montana (11108) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of University Of Washington School Of Medicine (2002).

NPPES Registry Identity

NPI1780609610
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTEN RUDOLPHCredential: M.D.
Location Address2900 12TH AVE N, SUITE 160WBillings, MT 59101-7506
Mailing Address2900 12th Ave N, Suite 160wBillings, MT 59101-7506 · (406) 237-8500 · Fax (416) 237-8501
Phone(406) 237-8500
Fax(416) 237-8501
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2002
Enumeration DateJuly 13, 2006
Last NPPES UpdateFebruary 13, 2012
✔ NPI 1780609610 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 · 11108
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.
2900 12TH AVE N, Billings, MT 59101
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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

Justen Rudolph 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 ID5890731194
PECOS Enrollment IDI20060725000407
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 Justen Rudolph reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Vincent Healthcare
Same address
Primary Care
2900 12TH AVENUE NORTH, SUITE 160W
Billings, MT 59101
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Scl Health Montana
  • 186 clinicians in this Medicare group
NPI 1043257983 (406) 237-8500
Scl Health Medical Group - Billings LLC
0.1 mi
Clinic/Center
1233 N 30TH ST
Billings, MT 59101
  • Reassigned Medicare billing, Montana enrollment
  • 438 clinicians in this Medicare group
NPI 1508289703 (406) 237-7700

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 10

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
424 services193 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.
348 services180 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
335 services136 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.
138 services99 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
133 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services48 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270049
Location1233 N 30th StBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530006
Location1401 W 5th StSheridan, WY 82801 · Sheridan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
12 suppliers143 claims1,774 services$17.94 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
12 suppliers141 claims4,415 services$2.33 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers29 claims29 services$176.28 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
33 suppliers140 claims596 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims38 services$1.02 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims39 services$2.25 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.

DANIEL M MOLLOY M.D.
Obstetrics & Gynecology
2900 12TH AVE N, STE 245W
BILLINGS, MT 59101
Yellowstone County (406) 238-6010
ST VINCENT HEALTHCARE
Clinic/Center
2900 12TH AVE N, SUITE 130W
BILLINGS, MT 59101
Yellowstone County (406) 237-3620
ST. VINCENT HEALTHCARE
Clinic/Center (Multi-Specialty)
2900 12TH AVE N, SUITE 340W
BILLINGS, MT 59101
Yellowstone County (406) 237-4050
CHARLES MCCLAVE MD
Internal Medicine
2900 12TH AVE N, SUITE 160W
BILLINGS, MT 59101
Yellowstone County (406) 237-8500
DAVID W SHENTON JR. M.D.
Orthopaedic Surgery (Sports Medicine)
2900 12TH AVE N, #100E
BILLINGS, MT 59101
Yellowstone County (406) 238-6700
DR. ROBERT E STOCKDALE M.D.
Urology
2900 12TH AVE N, STE 503E
BILLINGS, MT 59101
Yellowstone County (406) 237-5400
TAD A. STICHMAN PA-C
Physician Assistant
2900 12TH AVE N, SUITE 140W
BILLINGS, MT 59101
Yellowstone County (406) 237-5050
FRED V SCHNEIDER M.D.
Surgery
2900 12TH AVE N, STE 502E
BILLINGS, MT 59101
Yellowstone County (406) 245-6982

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 Justen Rudolph's NPI number?

The NPI number for Justen Rudolph is 1780609610. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Justen Rudolph located?

Justen Rudolph practices at 2900 12th Ave N Suite 160W, Billings, MT 59101. The listed phone number is (406) 237-8500.

What is Justen Rudolph's specialty?

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

Is Justen Rudolph enrolled in Medicare?

Yes. Justen Rudolph 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 Justen Rudolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justen Rudolph reassigns Medicare benefits to 2 organizations: St. Vincent Healthcare (Billings, MT) and Scl Health Medical Group - Billings LLC (Billings, 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 Justen Rudolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justen Rudolph accept?

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

According to CMS data, Justen Rudolph is affiliated with St Vincent Healthcare and Sheridan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Justen Rudolph was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.