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PMG MT GENERAL SURGERY
NPI 1972811768
Surgery in Missoula, MT

Active since September 15, 2010
500 W BROADWAY ST, MISSOULA, MT 59802(406) 543-7271 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pmg Mt General Surgery NPPES

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

PMG MT GENERAL SURGERY (NPI 1972811768) is a healthcare organization registered as a surgery in Missoula, Montana and active in the NPI registry since September 2010. The organization lists Teri Masters, Rcm Operations Mgr, as its authorized official.

NPPES Registry Identity

NPI1972811768
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address500 W BROADWAY STMissoula, MT 59802-4008
Mailing AddressPo Box 34439Seattle, WA 98124-1439
Phone(406) 543-7271
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialTeri MastersRcm Operations Mgr · (406) 329-5795
Enumeration DateSeptember 15, 2010
Last NPPES UpdateJuly 22, 2011
✔ NPI 1972811768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
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.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
500 W BROADWAY ST, Missoula, MT 59802
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Other Names 1

Doing Business AsPmg Mt General Surgery

Other Identifiers 1

Medicare PINM000009936MT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pmg Mt General Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

325

Medicare enrollment records show 325 clinicians reassign Medicare billing to Pmg Mt General Surgery, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 216 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Nurse Practitioner66
Family Practice22
Emergency Medicine19
Neurology19
Cardiovascular Disease (Cardiology)18
Clinical Social Worker18
Internal Medicine17
General Surgery14
33 other specialties132

Nearest to this location (20)

See all 325
Peter Tuberty, M.D.
Hospitalist
NPI 1891748919
500 W BROADWAY ST
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts MedicareSame address
Timothy Donovan, MD
Emergency Medicine
NPI 1962581371
500 W BROADWAY ST
Missoula, MT 59802
(406) 573-7271
✔ PECOS✔ Accepts MedicareSame address
Jordan Guffin, M.D.
Emergency Medicine
NPI 1689985376
500 W BROADWAY ST
Missoula, MT 59802
(406) 327-1918
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Knight, MD
Hospitalist
NPI 1528102399
500 W BROADWAY ST
Missoula, MT 59802
(406) 721-5600
✔ PECOS✔ Accepts MedicareSame address
Michael Kremkau, MD
Emergency Medicine
NPI 1417032731
500 W BROADWAY ST
Missoula, MT 59802
(406) 542-7271
✔ PECOS✔ Accepts MedicareSame address
Rachael Riopel, MD
Hospitalist
NPI 1730314790
500 W BROADWAY ST PROVIDENCE ST. PATRICK HOSPITAL
Missoula, MT 59802
(406) 247-3269
✔ PECOS✔ Accepts MedicareSame address
Sarah Scott, MD
Hematology/Oncology
NPI 1144335530
500 W BROADWAY ST
Missoula, MT 59802
(406) 728-2539
✔ PECOS✔ Accepts MedicareSame address
Stephanie Welch, MD
Hospitalist
NPI 1295841799
500 W BROADWAY ST
Missoula, MT 59802
(406) 721-5600
✔ PECOS✔ Accepts MedicareSame address
Bradley Coots, MD
Plastic and Reconstructive Surgery
NPI 1972611481
500 W BROADWAY ST FL 4
Missoula, MT 59802
(406) 329-5866
✔ PECOS✔ Accepts MedicareSame address
Marco Lorio, M.D
Infectious Disease
NPI 1295140937
500 W BROADWAY ST
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts MedicareSame address
James Maddux, MD
Cardiovascular Disease (Cardiology)
NPI 1942237326
500 W BROADWAY ST SUITE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts MedicareSame address
Emily Miller, NP
Nurse Practitioner
NPI 1629892609
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts MedicareSame address
Melissa Robinson, M.D.
Cardiac Electrophysiology
NPI 1831171586
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts MedicareSame address
Makenna Stavins, MD
Internal Medicine
NPI 1427708684
500 W BROADWAY ST FL 4
Missoula, MT 59802
(406) 327-1900
✔ PECOS✔ Accepts MedicareSame address
Vicente Undurraga Perl, M.D.
General Surgery
NPI 1083931067
500 W BROADWAY ST FL 4
Missoula, MT 59802
(406) 329-5828
✔ PECOS✔ Accepts MedicareSame address
Alyshia Van Houte, FNP-C
Nurse Practitioner
NPI 1285349316
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-2954
✔ PECOS✔ Accepts MedicareSame address
Gregory Wood, M.D.
Advanced Heart Failure and Transplant Cardiology
NPI 1487821344
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts MedicareSame address
Elise Abicht, MD
Obstetrics/Gynecology
NPI 1497071054
500 W BROADWAY ST FL 4BB
Missoula, MT 59802
(406) 329-5828
✔ PECOS✔ Accepts Medicare0.1 mi
Megan Boswell, FNP-C
Nurse Practitioner
NPI 1164178349
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare0.1 mi
Anthony Caffarelli, M.D.
Thoracic Surgery
NPI 1851587356
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare0.1 mi
See all 325 clinicians

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

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 Providence Health & Services Mt's NPI number?

The NPI number for Providence Health & Services Mt is 1972811768. It was assigned to this organization in the NPPES registry on September 15, 2010. The provider is doing business as Pmg Mt General Surgery.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 500 W Broadway St, Missoula, MT 59802. The listed phone number is (406) 543-7271.

What is Providence Health & Services Mt's specialty?

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

Is Providence Health & Services Mt enrolled in Medicare?

Yes. Providence Health & Services Mt is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Mt?

According to the CMS Revalidation Reassignment List (October 2026 release), 325 clinicians in 41 Medicare specialties reassign their Medicare billing to Providence Health & Services Mt. A 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 the clinician's services. The largest specialties are Nurse Practitioner (66), Family Practice (22) and Emergency Medicine (19). Of these, 17 practice at this address and 216 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services Mt accept?

Health plans from Blue Cross and Blue Shield of Montana list Providence Health & Services Mt 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.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Mt was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.