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DR. STEPHEN G MILHEIM M.D.
NPI 1962565432
Surgery in Shelby, MT

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
640 PARK AVE, SHELBY, MT 59474(406) 434-3207 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2024, Jul 21, 2022, Mar 11, 2022 and 2 more (5 updates tracked since 2017).

About Dr. Stephen G Milheim M.d. NPPES

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

DR. STEPHEN G MILHEIM M.D. (NPI 1962565432) is an individual surgery provider in Shelby, Montana, licensed in Montana (7100) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Logan Health - Shelby, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962565432
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. STEPHEN G MILHEIMCredential: M.D.
Location Address640 PARK AVEShelby, MT 59474-1663
Mailing Address1333 Surgical Services WayKalispell, MT 59901-4844 · (406) 752-5000 · Fax (406) 752-8220
Phone(406) 434-3207
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1987
Enumeration DateDecember 18, 2006
Last NPPES UpdateDecember 17, 20245 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1962565432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MT · 7100
Definition
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.
640 PARK AVE, Shelby, MT 59474
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1802 2nd St SECut Bank, MT 59427-3329 · Phone (406) 873-2251 · Fax (406) 873-3118
Location 2805 Sunset BlvdConrad, MT 59425-1717 · Phone (406) 271-3211 · Fax (406) 271-3917
Location 31333 Surgical Services WayKalispell, MT 59901-4844 · Phone (406) 752-5000 · Fax (406) 752-8220

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

Dr. Stephen G Milheim 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 ID7416925961
PECOS Enrollment IDI20090130000234
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 Stephen Milheim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Logan Health - Shelby
Same address
Critical Access
640 PARK AVE
Shelby, MT 59474
  • Reassigned Medicare billing, Montana enrollment
  • 62 clinicians in this Medicare group
NPI 1497742415 (406) 434-3200
Northern Rockies Medical Center, Inc.
23 mi
Rural Health
226 9TH AVE SE
Cut Bank, MT 59427
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1831143080 (Montana)
  • 59 clinicians in this Medicare group
NPI 1568416717 (406) 873-5507
Pondera Medical Center
24 mi
Urgent Care
805 SUNSET BLVD
Conrad, MT 59425
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Logan Health - Conrad
  • Also billed through NPI 1467445049 (Montana)
  • 64 clinicians in this Medicare group
NPI 1710901194 (406) 271-3211
Liberty County Hospital And Nursing Home, Inc
40 mi
Rural Health
418 WEST MONROE AVENUE
Chester, MT 59522
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1497754782 (Montana)
  • 50 clinicians in this Medicare group
NPI 1003984097 (406) 759-5194
Kalispell Regional Medical Center Inc
107 mi
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

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Logan Health - Shelby

Critical Access Hospitals · Shelby, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271328
Location640 Park AveShelby, MT 59474 · Toole County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59474 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
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
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 14

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

TOOLE COUNTY HOSPITAL
Pharmacy (Institutional Pharmacy)
640 PARK AVE
SHELBY, MT 59474
Toole County (406) 434-3222
MOLLY C ASPER
Nurse Practitioner (Gerontology)
640 PARK AVE
SHELBY, MT 59474
Toole County (406) 434-3207
LAURA J WITTMANN FNP-BC
Nurse Practitioner (Family)
640 PARK AVE
SHELBY, MT 59474
Toole County (406) 434-3204
JARED WEISHAAR
Nurse Anesthetist, Certified Registered
640 PARK AVE
SHELBY, MT 59474
Toole County (406) 434-3200
TOOLE COUNTY
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
640 PARK AVE
SHELBY, MT 59474
Toole County (406) 434-3200
JENNIFER CATHERINE GRUBER MPT
Physical Therapist
640 PARK AVE
SHELBY, MT 59474
Toole County (406) 434-3234
ALEXANDER KASTNER
Physical Therapy Assistant
640 PARK AVE
SHELBY, MT 59474
Toole County (406) 434-3234
LOGAN HEALTH - SHELBY
General Acute Care Hospital (Critical Access)
640 PARK AVE
SHELBY, MT 59474
Toole County (406) 434-3200

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 Stephen Milheim's NPI number?

The NPI number for Stephen Milheim is 1962565432. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Stephen Milheim located?

Stephen Milheim practices at 640 Park Ave, Shelby, MT 59474. The listed phone number is (406) 434-3207.

What is Stephen Milheim's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Stephen Milheim enrolled in Medicare?

Yes. Stephen Milheim 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 Stephen Milheim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Milheim reassigns Medicare benefits to 5 organizations: Logan Health - Shelby (Shelby, MT), Northern Rockies Medical Center, Inc. (Cut Bank, MT), Pondera Medical Center (Conrad, MT), Liberty County Hospital And Nursing Home, Inc (Chester, MT) and Kalispell Regional Medical Center Inc (Bigfork, 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 Stephen Milheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Milheim accept?

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

According to CMS data, Stephen Milheim is affiliated with Logan Health - Shelby.

When was this NPI record last updated?

The NPPES record for Stephen Milheim was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.