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PAUL MICHAEL BERKRAM M.D.
NPI 1952469140
Pediatrics in Bozeman, MT

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
937 HIGHLAND BLVD STE 5320, BOZEMAN, MT 59715(406) 414-4900 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2025, Jun 11, 2025, May 22, 2025 and 7 more (10 updates tracked since 2017).

About Paul Michael Berkram M.d. NPPES

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

PAUL MICHAEL BERKRAM M.D. (NPI 1952469140) is an individual pediatrics provider in Bozeman, Montana, licensed in Montana (11741) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1952469140
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePAUL MICHAEL BERKRAMCredential: M.D.
Location Address937 HIGHLAND BLVD STE 5320Bozeman, MT 59715-6916
Mailing Address915 Highland BlvdBozeman, MT 59715-6902 · (406) 414-1826
Phone(406) 414-4900
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2004
Enumeration DateDecember 4, 2006
Last NPPES UpdateJune 20, 202510 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1952469140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MT · 11741
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 11741 (MT)
937 HIGHLAND BLVD STE 5320, Bozeman, MT 59715
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11287 Burns WayKalispell, MT 59901-3109 · Phone (406) 752-8120 · Fax (406) 752-8134
Location 2310 Sunnyview LnKalispell, MT 59901 · Phone (406) 751-5310
Location 36 13th Ave EPolson, MT 59860-5315 · Phone (406) 883-5680 · Fax (406) 883-8405

Other Identifiers 2

Other1952469140MT · Bcbs
Medicaid1952469140MT

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

Paul Michael Berkram 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 ID3971678608
PECOS Enrollment IDI20080814000767
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

5

Medicare enrollment records show Paul Berkram reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bozeman Health Deaconess Hospital
0.1 mi
Emergency Medicine
915 HIGHLAND BLVD
Bozeman, MT 59715
  • Reassigned Medicare billing, Montana enrollment
  • 402 clinicians in this Medicare group
NPI 1437529112 (406) 414-5000
Kalispell Regional Medical Center Inc
203 mi
Family Medicine
106 RIDGEWATER DR STE A
Polson, MT 59860
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1528386802 (406) 883-3200
Providence St Joseph Medical Center
204 mi
Critical Access
6 13TH AVE E
Polson, MT 59860
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1669655528 (Montana)
  • 51 clinicians in this Medicare group
NPI 1821184888 (406) 883-5377
Logan Health - Whitefish
239 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
St. John's Lutheran Hospital, Inc.
285 mi
Critical Access
209 HEALTH PARK DR
Libby, MT 59923
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: St Johns Lutheran Hospital Inc
  • 67 clinicians in this Medicare group
NPI 1952312050 (406) 283-7000

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 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

Cabinet Peaks Medical Center

Critical Access Hospitals · Libby, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271320
Location209 Health Park DrLibby, MT 59923 · Lincoln 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
$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.

Other Providers at the Same Location NPPES 19

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

STEPHANIE RONA STARR M.D.
Pediatrics
937 HIGHLAND BLVD STE 5320
BOZEMAN, MT 59715
Gallatin County (406) 414-4900
STEVEN WEINDLING M.D.
Pediatrics (Pediatric Cardiology)
937 HIGHLAND BLVD STE 5320
BOZEMAN, MT 59715
Gallatin County (406) 414-4900
RACHEL RATCHFORD PA-C
Physician Assistant (Medical)
937 HIGHLAND BLVD STE 5320
BOZEMAN, MT 59715
Gallatin County (406) 414-4900
JOSEPH FOX M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
937 HIGHLAND BLVD STE 5320
BOZEMAN, MT 59715
Gallatin County (406) 414-5000
DR. LOUAY JOSEPH TONI MD
Pediatrics (Pediatric Cardiology)
937 HIGHLAND BLVD STE 5320
BOZEMAN, MT 59715
Gallatin County (406) 414-4900
PEPPER J KERR MD
Pediatrics
937 HIGHLAND BLVD STE 5320
BOZEMAN, MT 59715
Gallatin County (406) 414-4900
LYNNE A. FOSS PNP
Nurse Practitioner (Pediatrics)
937 HIGHLAND BLVD STE 5320
BOZEMAN, MT 59715
Gallatin County (406) 414-4900
NADIA VALESKA HALSTEAD MD, MPH
Urology (Pediatric Urology)
937 HIGHLAND BLVD STE 5320
BOZEMAN, MT 59715
Gallatin County (406) 414-4900

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 Paul Berkram's NPI number?

The NPI number for Paul Berkram is 1952469140. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Paul Berkram located?

Paul Berkram practices at 937 Highland Blvd Ste 5320, Bozeman, MT 59715. The listed phone number is (406) 414-4900.

What is Paul Berkram's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Berkram enrolled in Medicare?

Yes. Paul Berkram 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 Paul Berkram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Berkram reassigns Medicare benefits to 5 organizations: Bozeman Health Deaconess Hospital (Bozeman, MT), Kalispell Regional Medical Center Inc (Polson, MT), Providence St Joseph Medical Center (Polson, MT), Logan Health - Whitefish (Columbia Falls, MT) and St. John's Lutheran Hospital, Inc. (Libby, 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 Paul Berkram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Berkram accept?

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

According to CMS data, Paul Berkram is affiliated with Logan Health Medical Center and Cabinet Peaks Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Berkram was last updated on June 20, 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.