JOHN R GANNON M.D.
NPI 1861634289
Urology in Bozeman, MT

Active since March 31, 2009PECOS EnrolledAccepts Medicare Assignment
80.8/100
CMS Quality Rating
931 HIGHLAND BLVD STE 3360, BOZEMAN, MT 59715(406) 414-5300 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2025, Aug 5, 2021, Mar 17, 2018 (3 updates tracked since 2018).

About John R Gannon M.d. NPPES

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

JOHN R GANNON M.D. (NPI 1861634289) is an individual urology provider in Bozeman, Montana, licensed in Montana (MED-PHYS-LIC-58876) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with St Peters Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861634289
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOHN R GANNONCredential: M.D.
Location Address931 HIGHLAND BLVD STE 3360Bozeman, MT 59715-6914
Mailing Address915 Highland BlvdBozeman, MT 59715-6902 · (406) 414-1671
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2009
Enumeration DateMarch 31, 2009
Last NPPES UpdateApril 10, 20253 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
NPI 1861634289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in MT · MED-PHYS-LIC-58876 Licensed in WA · 208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

931 HIGHLAND BLVD STE 3360, Bozeman, MT 59715

Secondary Practice Locations 2

Location 14245 Roosevelt Way NE, Suite 300Seattle, WA 98105-6008 · Phone (206) 598-6358
Location 2334 Town Center AveBig Sky, MT 59716 · Phone (406) 414-5000

Other Identifiers 1

Medicaid1861634289WA

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

John R Gannon 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 ID648403741
PECOS Enrollment IDI20171101003365
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 19

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.

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.
315 services223 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
130 services130 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.
88 services76 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
71 services67 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.
43 services32 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
41 services30 patients

Hospital Affiliations CMS Care Compare 5

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

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

Livingston Healthcare

Critical Access Hospitals · Livingston, MT
3/5 CMS rating
OwnershipPhysician
CMS Certification Number271317
Location320 Alpenglow LaneLivingston, MT 59047 · Park County
Emergency services

Madison Valley Medical Center

Critical Access Hospitals · Ennis, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271329
Location305 N MainEnnis, MT 59729 · Madison County
Emergency services

Big Sky Medical Center

Critical Access Hospitals · Big Sky, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271389
Location334 Town Center AveBig Sky, MT 59716 · Gallatin County
Emergency services

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
$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.

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

Referred Medical Equipment & Supplies CMS DME claims 8

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers27 claims3,270 services$1.32 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers30 claims3,582 services$4.69 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$7.99 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
1 supplier12 claims240 services$4.92 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$5.93 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.47 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.

Nurse Practitioner (Family)
931 HIGHLAND BLVD STE 3360
BOZEMAN, MT 59715
Nurse Practitioner
931 HIGHLAND BLVD STE 3360
BOZEMAN, MT 59715
Urology
931 HIGHLAND BLVD STE 3360
BOZEMAN, MT 59715
Urology
931 HIGHLAND BLVD STE 3360
BOZEMAN, MT 59715
Nurse Practitioner (Family)
931 HIGHLAND BLVD STE 3360
BOZEMAN, MT 59715
Urology
931 HIGHLAND BLVD STE 3360
BOZEMAN, MT 59715

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861634289, enumerated as an "individual" on March 31, 2009.

The provider is located at 931 HIGHLAND BLVD STE 3360 BOZEMAN, MT 59715 and the phone number is (406) 414-5300.

Urology with taxonomy code 208800000X.

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.

John Gannon is affiliated with: ST PETERS HEALTH, BOZEMAN HEALTH DEACONESS HOSPITAL, LIVINGSTON HEALTHCARE, MADISON VALLEY MEDICAL CENTER and BIG SKY MEDICAL CENTER.