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JULIA NICOLE GRUETZMACHER MD
NPI 1962852962
Family Medicine in Missoula, MT

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
85.43/100
CMS Quality Rating
500 W BROADWAY ST, MISSOULA, MT 59802(406) 543-7271(406) 327-1834 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2019, Jun 21, 2016 (2 updates tracked since 2016).

About Julia Nicole Gruetzmacher Md NPPES

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

JULIA NICOLE GRUETZMACHER MD (NPI 1962852962) is an individual family medicine provider in Missoula, Montana, licensed in Montana (76116) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains a secondary practice location in Missoula.

NPPES Registry Identity

NPI1962852962
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJULIA NICOLE GRUETZMACHERCredential: MD
Location Address500 W BROADWAY STMissoula, MT 59802-4008
Mailing Address500 W Broadway StMissoula, MT 59802-4008 · (406) 543-7271 · Fax (406) 327-1834
Phone(406) 543-7271
Fax(406) 327-1834
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateMay 16, 20192 updates tracked since enumeration
✔ NPI 1962852962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MT · 76116
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
500 W BROADWAY ST, Missoula, MT 59802
Open in Google Maps ↗

Secondary Practice Location 1

Location 1401 Railroad St WMissoula, MT 59802-4109 · Phone (406) 258-4789 · Fax (406) 258-4732

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.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

Julia Nicole Gruetzmacher Md 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 ID1355695792
PECOS Enrollment IDI20190709001255
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 5

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 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.
361 services144 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
253 services121 patients
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.
121 services118 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.
117 services115 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 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270014
Location500 W BroadwayMissoula, MT 59806 · Missoula County
Emergency services Birthing friendly

Bitterroot Health - Daly Hospital

Critical Access Hospitals · Hamilton, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271340
Location1200 Westwood DrHamilton, MT 59840 · Ravalli County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59802 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.

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.

85.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.98
Promoting Interoperability100
Improvement Activities40
Cost65.45

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers38 claims38 services$17.08 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
4 suppliers49 claims49 services$88.35 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 20

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

SIMONE MUSCO MD
Internal Medicine (Clinical Cardiac Electrophysiology)
500 W BROADWAY ST, STE 320
MISSOULA, MT 59802
Missoula County (406) 329-5615
PROVIDENCE HEALTH & SERVICES MT
General Acute Care Hospital
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 543-7271
JAMIE BELKOWSKI PHARMACIST
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 543-7271
DR. DESIREE NICOLE OWSLEY PHARMD
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 327-1650
JEANNIE H SWAIN PHARMD
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 329-5721
HEATHER HIGHTOWER NP
Nurse Practitioner (Family)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 728-2539
MR. CURTIS G WICKRE MD
Internal Medicine (Nephrology)
500 W BROADWAY ST, 4TH FLOOR
MISSOULA, MT 59802
Missoula County (406) 327-1900
DR. TRAVIS OWEN ABICHT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 329-5615

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 Julia Gruetzmacher's NPI number?

The NPI number for Julia Gruetzmacher is 1962852962. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Julia Gruetzmacher located?

Julia Gruetzmacher practices at 500 W Broadway St, Missoula, MT 59802. The listed phone number is (406) 543-7271.

What is Julia Gruetzmacher's specialty?

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

Is Julia Gruetzmacher enrolled in Medicare?

Yes. Julia Gruetzmacher 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 Julia Gruetzmacher accept?

Health plans from Blue Cross and Blue Shield of Montana list Julia Gruetzmacher 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 Julia Gruetzmacher affiliated with any hospitals?

According to CMS data, Julia Gruetzmacher is affiliated with St. Patrick Hospital and Bitterroot Health - Daly Hospital.

When was this NPI record last updated?

The NPPES record for Julia Gruetzmacher was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.