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DR. JAMES E LOEFFELHOLZ MD
NPI 1861416331
Internal Medicine in Bozeman, MT

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
80.8/100
CMS Quality Rating
937 HIGHLAND BLVD STE 5410, BOZEMAN, MT 59715(406) 522-2400 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2025, Apr 4, 2025, May 12, 2022 and 1 more (4 updates tracked since 2019).

About Dr. James E Loeffelholz Md NPPES

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

DR. JAMES E LOEFFELHOLZ MD (NPI 1861416331) is an individual internal medicine provider in Bozeman, Montana, licensed in Montana (MED-PHYS-LIC-9528) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bozeman Health Deaconess Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1996).

NPPES Registry Identity

NPI1861416331
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES E LOEFFELHOLZCredential: MD
Location Address937 HIGHLAND BLVD STE 5410Bozeman, MT 59715-6916
Mailing Address915 Highland BlvdBozeman, MT 59715-6902 · (406) 414-5000
Phone(406) 522-2400
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1996
Enumeration DateJuly 27, 2006
Last NPPES UpdateApril 10, 20254 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1861416331 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 · MED-PHYS-LIC-9528
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.
937 HIGHLAND BLVD STE 5410, Bozeman, MT 59715
Open in Google Maps ↗

Other Identifiers 3

Medicaid0091596MT
Other110222888Medicare Railroad
Other000091271Bcbs

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James E Loeffelholz 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 ID9436100062
PECOS Enrollment IDI20050201000663
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

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.

Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
31 services12 patients

Hospital Affiliations CMS Care Compare

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

Bozeman Health Deaconess Hospital

Acute Care Hospitals · Bozeman, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270057
Location915 Highland Blvd Suite 3310Bozeman, MT 59715 · Gallatin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59715 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.

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.

80.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.76
Promoting Interoperability87
Improvement Activities40
Cost58.08

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.

DR. PAMELA HIEBERT MD
Internal Medicine
937 HIGHLAND BLVD STE 5410
BOZEMAN, MT 59715
Gallatin County (406) 414-2400
DR. JONATHAN PRINCE BRIGHAM M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
937 HIGHLAND BLVD STE 5410
BOZEMAN, MT 59715
Gallatin County (406) 414-2400
MRS. KEVEN JEAN COMER NP
Nurse Practitioner
937 HIGHLAND BLVD STE 5410
BOZEMAN, MT 59715
Gallatin County (406) 414-2400
DANIEL SCOTT MITCHELL D.O.
Internal Medicine
937 HIGHLAND BLVD STE 5410
BOZEMAN, MT 59715
Gallatin County (406) 414-2400
DR. MICHAEL HERRING MD
Internal Medicine
937 HIGHLAND BLVD STE 5410
BOZEMAN, MT 59715
Gallatin County (406) 414-2400
DR. UMBERTO N ORAZI M.D.
Internal Medicine
937 HIGHLAND BLVD STE 5410
BOZEMAN, MT 59715
Gallatin County (406) 414-2400
AMY WAGNER FNP-C
Nurse Practitioner (Family)
937 HIGHLAND BLVD STE 5410
BOZEMAN, MT 59715
Gallatin County (406) 414-2400
DR. KRISTEN LYNN HUNTER PHARMD
Pharmacist
937 HIGHLAND BLVD STE 5410
BOZEMAN, MT 59715
Gallatin County (406) 414-1623

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 James Loeffelholz's NPI number?

The NPI number for James Loeffelholz is 1861416331. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is James Loeffelholz located?

James Loeffelholz practices at 937 Highland Blvd Ste 5410, Bozeman, MT 59715. The listed phone number is (406) 522-2400.

What is James Loeffelholz's specialty?

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

Is James Loeffelholz enrolled in Medicare?

Yes. James Loeffelholz 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 James Loeffelholz accept?

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

According to CMS data, James Loeffelholz is affiliated with Bozeman Health Deaconess Hospital.

When was this NPI record last updated?

The NPPES record for James Loeffelholz was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.