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JAMES SAMUEL MONTANA
NPI 1922032200
Internal Medicine in Ely, MN

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
300 W CONAN ST, ELY, MN 55731(218) 365-7900(218) 365-7975 Get Directions Write a Review

NPPES record last updated: February 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Samuel Montana NPPES

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

JAMES SAMUEL MONTANA (NPI 1922032200) is an individual internal medicine provider in Ely, Minnesota, licensed in Minnesota (38029) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Minnesota Medical School (1997).

NPPES Registry Identity

NPI1922032200
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAMES SAMUEL MONTANA
Location Address300 W CONAN STEly, MN 55731-1145
Mailing Address300 W Conan StEly, MN 55731-1145 · (218) 365-7900 · Fax (218) 365-7975
Phone(218) 365-7900
Fax(218) 365-7975
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1997
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 17, 2016
✔ NPI 1922032200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 38029
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.
300 W CONAN ST, Ely, MN 55731
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Other Identifiers 3

Medicare UPING11186
Medicaid311726000MN
Medicare PIN110007970MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

James Samuel Montana 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 ID5799774378
PECOS Enrollment IDI20040510000179
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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services23 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.
42 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240075
Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County
Emergency services Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Ely Bloomenson Community Hospital

Critical Access Hospitals · Ely, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241318
Location328 West Conan StreetEly, MN 55731 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55731 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 9

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
7 suppliers30 claims87 services$6.21 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers12 claims12 services$35.29 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers11 claims11 services$17.84 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
9 suppliers17 claims80 services$2.20 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$42.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers36 claims36 services$91.35 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 13

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

MITCHELL DAVID MOE MD
Family Medicine
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
WALTER BERTRAM LEINO
Family Medicine
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
JOSEPH ANTHONY BIANCO
Family Medicine
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
MARGARET EILEEN YORK-JESME
Nurse Practitioner (Family)
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
MS. MOLLY SUE EDWARDS APRN, CNP
Nurse Practitioner
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7975
ESSENTIA HEALTH VIRGINIA, LLC
Clinic/Center (Rural Health)
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
MARY CATHERINE ULMANIEC BIANCO
Family Medicine
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
JOSEPH MICHAEL SCHWINGHAMER
Family Medicine
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900

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 Montana's NPI number?

The NPI number for James Montana is 1922032200. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is James Montana located?

James Montana practices at 300 W Conan St, Ely, MN 55731. The listed phone number is (218) 365-7900.

What is James Montana's specialty?

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

Is James Montana enrolled in Medicare?

Yes. James Montana 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 Montana accept?

Health plans from Medica and Sanford Health Plan list James Montana 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 Montana affiliated with any hospitals?

According to CMS data, James Montana is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health St Joseph's Medical Center, Essentia Health Virginia and Ely Bloomenson Community Hospital.

When was this NPI record last updated?

The NPPES record for James Montana was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.