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DR. DEREK ALLAN GEDLAMAN DO
NPI 1902895329
Family Medicine in Columbia Falls, MT

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
734 9TH ST W, SUITE 12, COLUMBIA FALLS, MT 59912(406) 892-1011(406) 892-2108 Get Directions Write a Review

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

About Dr. Derek Allan Gedlaman Do NPPES

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

DR. DEREK ALLAN GEDLAMAN DO (NPI 1902895329) is an individual family medicine provider in Columbia Falls, Montana, licensed in Montana (10336) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2000).

NPPES Registry Identity

NPI1902895329
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DEREK ALLAN GEDLAMANCredential: DO
Location Address734 9TH ST W, SUITE 12Columbia Falls, MT 59912-3859
Mailing Address734 9th St W, Suite 12Columbia Falls, MT 59912-3859 · (406) 892-1011 · Fax (406) 892-2108
Phone(406) 892-1011
Fax(406) 892-2108
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2000
Enumeration DateOctober 18, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1902895329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MT · 10336
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
734 9TH ST W, Columbia Falls, MT 59912
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Other Identifiers 1

Medicaid00069734MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Providence Health Plan.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

Dr. Derek Allan Gedlaman Do 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 ID2466446661
PECOS Enrollment IDI20040412000667
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 Derek Gedlaman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alpine Family Medicine PC
Same address
Family Medicine
734 9TH ST W, SUITE 12
Columbia Falls, MT 59912
  • Reassigned Medicare billing, Montana enrollment
  • 2 clinicians in this Medicare group
NPI 1861523649 (406) 892-1011
Logan Health - Whitefish
0.6 mi
Rural Health
1675 TALBOT RD
Columbia Falls, MT 59912
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1396710851 (Montana)
  • 66 clinicians in this Medicare group
NPI 1285948539 (406) 892-3208

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 6

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
122 services95 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.
103 services62 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 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
28 services28 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270051
Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County
Emergency services Birthing friendly

Logan Health - Whitefish

Critical Access Hospitals · Whitefish, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271336
Location1600 Hospital WayWhitefish, MT 59937 · Flathead County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59912 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
$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 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers43 claims96 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers20 claims22 services$1.08 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$22.15 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
1 supplier17 claims20 services$7.95 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier22 claims88 services$5.27 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 suppliers12 claims280 services$7.87 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 2

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

DR. KELTIE WARREN DC
Chiropractor
734 9TH ST W
COLUMBIA FALLS, MT 59912
Flathead County (406) 471-7122
ALPINE FAMILY MEDICINE PC
Family Medicine
734 9TH ST W, SUITE 12
COLUMBIA FALLS, MT 59912
Flathead County (406) 892-1011

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 Derek Gedlaman's NPI number?

The NPI number for Derek Gedlaman is 1902895329. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Derek Gedlaman located?

Derek Gedlaman practices at 734 9th St W Suite 12, Columbia Falls, MT 59912. The listed phone number is (406) 892-1011.

What is Derek Gedlaman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Derek Gedlaman enrolled in Medicare?

Yes. Derek Gedlaman 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 Derek Gedlaman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Gedlaman reassigns Medicare benefits to 2 organizations: Alpine Family Medicine PC (Columbia Falls, MT) and Logan Health - Whitefish (Columbia Falls, 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 Derek Gedlaman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Gedlaman accept?

Health plans from Blue Cross and Blue Shield of Montana and Providence Health Plan list Derek Gedlaman 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 Derek Gedlaman affiliated with any hospitals?

According to CMS data, Derek Gedlaman is affiliated with Logan Health Medical Center and Logan Health - Whitefish.

When was this NPI record last updated?

The NPPES record for Derek Gedlaman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.