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THEODORE MAILLETTE MD
NPI 1912403072
Family Medicine in Kalispell, MT

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
70 VILLAGE LOOP RD, KALISPELL, MT 59901(406) 752-8877(406) 756-3245 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2025, Apr 4, 2025, Mar 25, 2025 and 3 more (6 updates tracked since 2019).

About Theodore Maillette Md NPPES

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

THEODORE MAILLETTE MD (NPI 1912403072) is an individual family medicine provider in Kalispell, Montana, licensed in Montana (148638) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2018).

NPPES Registry Identity

NPI1912403072
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHEODORE MAILLETTECredential: MD
Location Address70 VILLAGE LOOP RDKalispell, MT 59901-2793
Mailing Address200 1st St SwRochester, MN 55905-0001 · (715) 838-5222
Phone(406) 752-8877
Fax(406) 756-3245
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateMay 29, 20256 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1912403072 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 · 148638
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.
70 VILLAGE LOOP RD, Kalispell, MT 59901
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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

Theodore Maillette 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 ID5193073765
PECOS Enrollment IDI20250407003537
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 Theodore Maillette reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kalispell Regional Medical Center Inc
Same address
Clinic/Center
70 VILLAGE LOOP RD
Kalispell, MT 59901
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1891096590 (406) 752-8877
Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
1,079 mi
Critical Access
1222 E WOODLAND AVE
Barron, WI 54812
NPI 1740239557 (715) 537-3186

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.

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.
343 services233 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.
70 services57 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
56 services56 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
46 services46 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
41 services41 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.
38 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521314
Location1501 Thompson StBloomer, WI 54724 · Chippewa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 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 2

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
9 suppliers31 claims74 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims18 services$1.13 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 5

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

TIMOTHY J. STUTZMAN MD
Family Medicine
70 VILLAGE LOOP RD
KALISPELL, MT 59901
Flathead County (406) 752-8877
DR. MORGAN A COLEMAN M.D.
Family Medicine
70 VILLAGE LOOP RD
KALISPELL, MT 59901
Flathead County (406) 752-8877
R. DENNIS WINKEL M.D.
Family Medicine
70 VILLAGE LOOP RD
KALISPELL, MT 59901
Flathead County (406) 752-8877
MRS. JAMIE ALICE CORWIN DNP
Nurse Practitioner (Family)
70 VILLAGE LOOP RD
KALISPELL, MT 59901
Flathead County (406) 752-8877
KALISPELL REGIONAL MEDICAL CENTER INC
Clinic/Center
70 VILLAGE LOOP RD
KALISPELL, MT 59901
Flathead County (406) 752-8877

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 Theodore Maillette's NPI number?

The NPI number for Theodore Maillette is 1912403072. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Theodore Maillette located?

Theodore Maillette practices at 70 Village Loop Rd, Kalispell, MT 59901. The listed phone number is (406) 752-8877.

What is Theodore Maillette's specialty?

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

Is Theodore Maillette enrolled in Medicare?

Yes. Theodore Maillette 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 Theodore Maillette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Maillette reassigns Medicare benefits to 2 organizations: Kalispell Regional Medical Center Inc (Kalispell, MT) and Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Barron, WI). 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 Theodore Maillette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Maillette accept?

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

According to CMS data, Theodore Maillette is affiliated with Logan Health Medical Center, Logan Health - Whitefish, Mayo Clinic Health System Eau Claire Hospital and Mayo Clinic Health System Chippewa Valley.

When was this NPI record last updated?

The NPPES record for Theodore Maillette was last updated on May 29, 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.