DALE R MORTENSON MD, FACS
NPI 1801949722
Surgery in Great Falls, MT

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
88.15/100
CMS Quality Rating
400 13TH AVE S STE 102, GREAT FALLS, MT 59405(406) 731-8888(406) 731-8318 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dale R Mortenson Md, Facs NPPES

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

DALE R MORTENSON MD, FACS (NPI 1801949722) is an individual surgery provider in Great Falls, Montana, licensed in Montana (7773) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Southern Illinois University School Of Medicine (1987).

NPPES Registry Identity

NPI1801949722
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDALE R MORTENSONCredential: MD, FACS
Location Address400 13TH AVE S STE 102Great Falls, MT 59405-4300
Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 731-8888 · Fax (406) 731-8318
Fax(406) 731-8318
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1987
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
NPI 1801949722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MT · 7773
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.
400 13TH AVE S STE 102, Great Falls, MT 59405

Other Identifiers 4

Other0000099960MT · Blue Cross Blue Shield
Other020053444MT · Railroad Medicare
Other608333600MT · Us Dept Of Labor
Medicaid0000048433MT

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

Dale R Mortenson Md, Facs 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 ID9739132762
PECOS Enrollment IDI20100126000187
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 15

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
96 services96 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
60 services60 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.
57 services52 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
55 services53 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services27 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
29 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Missouri River Medical Center

Critical Access Hospitals · Fort Benton, MT
OwnershipGovernment - Hospital District or Authority
CMS Certification Number271304
Location1501 St Charles StFort Benton, MT 59442 · Chouteau County
Emergency services

Pondera Medical Center

Critical Access Hospitals · Conrad, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271324
Location805 Sunset BlvdConrad, MT 59425 · Pondera County
Emergency services

Northern Montana Hospital

Critical Access Hospitals · Havre, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271348
Location30 13th StHavre, MT 59501 · Hill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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.

88.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.46
Improvement Activities40
Cost66.58

Referred Medical Equipment & Supplies CMS DME claims 9

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

Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
2 suppliers29 claims37 services$7.02 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier15 claims36 services$3.46 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers44 claims966 services$4.85 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers23 claims718 services$2.50 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers41 claims1,110 services$7.78 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier12 claims1,740 services$1.66 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 6

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

Surgery
400 13TH AVE S STE 102
GREAT FALLS, MT 59405
Dietitian, Registered (Nutrition, Obesity and Weight Management)
400 13TH AVE S STE 102
GREAT FALLS, MT 59405
Surgery
400 13TH AVE S STE 102
GREAT FALLS, MT 59405
Surgery
400 13TH AVE S STE 102
GREAT FALLS, MT 59405
Family Medicine
400 13TH AVE S STE 102
GREAT FALLS, MT 59405
Surgery
400 13TH AVE S STE 102
GREAT FALLS, MT 59405

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 Dale Mortenson's NPI number?

The NPI number for Dale Mortenson is 1801949722. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Dale Mortenson located?

Dale Mortenson practices at 400 13th Ave S Ste 102, Great Falls, MT 59405. The listed phone number is (406) 731-8888.

What is Dale Mortenson's specialty?

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

Is Dale Mortenson enrolled in Medicare?

Yes. Dale Mortenson 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 Dale Mortenson accept?

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

According to CMS data, Dale Mortenson is affiliated with Benefis Hospitals Inc, Great Falls Clinic Hospital, Missouri River Medical Center, Pondera Medical Center and Northern Montana Hospital.

When was this NPI record last updated?

The NPPES record for Dale Mortenson was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.