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CLAY I. CAMPBELL M.D.
NPI 1952497810
Family Medicine in Bigfork, MT

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
8299 MT HIGHWAY 35, BIGFORK, MT 59911(406) 837-5541(406) 837-5543 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2024, Dec 22, 2020 (2 updates tracked since 2020).

About Clay I. Campbell M.d. NPPES

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

CLAY I. CAMPBELL M.D. (NPI 1952497810) is an individual family medicine provider in Bigfork, Montana, licensed in Montana (90015) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains a secondary practice location in Montpelier.

NPPES Registry Identity

NPI1952497810
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCLAY I. CAMPBELLCredential: M.D.
Location Address8299 MT HIGHWAY 35Bigfork, MT 59911-3583
Mailing Address8299 Mt Highway 35Bigfork, MT 59911-3583 · (406) 837-5541 · Fax (406) 837-5543
Phone(406) 837-5541
Fax(406) 837-5543
Sole ProprietorYes
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1991
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1952497810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MT · 90015✔ Licensed in ID · M-6065
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.
8299 MT HIGHWAY 35, Bigfork, MT 59911
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Secondary Practice Location 1

Location 1166 SO 5TH STMONTPELIER, ID 83254-1557 · Phone (208) 847-3847 · Fax (208) 847-1620

Other Identifiers 3

Medicaid110040800WY
Medicaid806820000ID
Medicaid002743700ID

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

Clay I. Campbell 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 ID4789589714
PECOS Enrollment IDI20210503002349
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 Clay Campbell 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
Primary Care
8299 MT HIGHWAY 35
Bigfork, MT 59911
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1164726428 (406) 837-5541
Bear Lake County Memorial Hospital
419 mi
Critical Access
164 S 5TH ST
Montpelier, ID 83254
  • Reassigned Medicare billing, Idaho enrollment
  • 32 clinicians in this Medicare group
NPI 1336125533 (208) 847-1630

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 8

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 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.
280 services193 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.
230 services141 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.
154 services154 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services39 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services22 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
19 services13 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59911 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 12

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 suppliers11 claims18 services$6.37 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers14 claims14 services$40.86 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$105.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers12 claims28 services$44.87 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers15 claims15 services$71.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers19 claims19 services$21.94 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 7

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

KALISPELL REGIONAL MEDICAL CENTER INC
Clinic/Center (Primary Care)
8299 MT HIGHWAY 35
BIGFORK, MT 59911
Flathead County (406) 837-5541
DR. CRAIG WALKER PHD
Counselor (Professional)
8299 MT HIGHWAY 35, BIGFORK MEDICAL CENTER
BIGFORK, MT 59911
Flathead County (406) 837-5525
FLATHEAD PHYSICAL THERAPY, INC. P.C.
Clinic/Center (Physical Therapy)
8299 MT HIGHWAY 35
BIGFORK, MT 59911
Flathead County (406) 837-5499
MARTHA JESSOP APRN-FNP, BC
Nurse Practitioner (Family)
8299 MT HIGHWAY 35
BIGFORK, MT 59911
Flathead County (406) 837-5541
THOMAS G JENKO MD
Family Medicine
8299 MT HIGHWAY 35
BIGFORK, MT 59911
Flathead County (406) 837-5541
BIGFORK MEDICAL CLINIC, PC
Family Medicine
8299 MT HIGHWAY 35
BIGFORK, MT 59911
Flathead County (406) 837-5541
DANA CHASE DUCOTE MD
Family Medicine
8299 MT HIGHWAY 35
BIGFORK, MT 59911
Flathead County (406) 837-5541

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 Clay Campbell's NPI number?

The NPI number for Clay Campbell is 1952497810. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Clay Campbell located?

Clay Campbell practices at 8299 Mt Highway 35, Bigfork, MT 59911. The listed phone number is (406) 837-5541.

What is Clay Campbell's specialty?

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

Is Clay Campbell enrolled in Medicare?

Yes. Clay Campbell 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 Clay Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clay Campbell reassigns Medicare benefits to 2 organizations: Kalispell Regional Medical Center Inc (Bigfork, MT) and Bear Lake County Memorial Hospital (Montpelier, ID). 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 Clay Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clay Campbell accept?

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

According to CMS data, Clay Campbell is affiliated with Logan Health Medical Center.

When was this NPI record last updated?

The NPPES record for Clay Campbell was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.