DR. MICHAEL SHAWN ENGLEHART
NPI 1932355054
Surgery in Billings, MT
About Dr. Michael Shawn Englehart NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL SHAWN ENGLEHART (NPI 1932355054) is an individual surgery provider in Billings, Montana, licensed in Montana (MED-PHYS-LIC-12339) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of University Of California, San Diego School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses 2
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Other Names 1
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
Dr. Michael Shawn Englehart 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Billings Clinic
Acute Care Hospitals · Billings, MTFrances Mahon Deaconess Hospital
Critical Access Hospitals · Glasgow, MTGlendive Medical Center
Critical Access Hospitals · Glendive, MTPowell Valley Hospital
Critical Access Hospitals · Powell, WYCody Regional Health
Critical Access Hospitals · Cody, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 59101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BILLINGS, MT 59101
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 Michael Englehart's NPI number?
The NPI number for Michael Englehart is 1932355054. It was assigned to this individual provider in the NPPES registry on August 8, 2008.
Where is Michael Englehart located?
Michael Englehart practices at 801 N 29th St, Billings, MT 59101. The listed phone number is (406) 238-2500.
What is Michael Englehart's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Michael Englehart enrolled in Medicare?
Yes. Michael Englehart 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 Michael Englehart accept?
Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Michael Englehart 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 Michael Englehart affiliated with any hospitals?
According to CMS data, Michael Englehart is affiliated with Billings Clinic, Frances Mahon Deaconess Hospital, Glendive Medical Center, Powell Valley Hospital and Cody Regional Health.
When was this NPI record last updated?
The NPPES record for Michael Englehart was last updated on December 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
