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ANDREA HEDBLOM PA-C
NPI 1992057038
Physician Assistant in Helena, MT

Active since October 14, 2012PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
630 N LAST CHANCE GULCH STE 1100, HELENA, MT 59601(406) 457-0000 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Jun 22, 2018 (2 updates tracked since 2018).

About Andrea Hedblom Pa-c NPPES

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

ANDREA HEDBLOM PA-C (NPI 1992057038) is an individual physician assistant in Helena, Montana and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with St Peters Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992057038
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA HEDBLOMCredential: PA-C
Location Address630 N LAST CHANCE GULCH STE 1100Helena, MT 59601-3551
Mailing Address1930 9th AveHelena, MT 59601-4759 · (406) 457-0000
Phone(406) 457-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 14, 2012
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1992057038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 59457 (MT)
630 N LAST CHANCE GULCH STE 1100, Helena, MT 59601
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12475 E Broadway StHelena, MT 59601-4928 · Phone (406) 447-2698
Location 21930 9th AveHelena, MT 59601-4759 · Phone (406) 457-0000

Accepted Insurance

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

Andrea Hedblom Pa-c 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 ID4385896539
PECOS Enrollment IDI20171019003183
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 2

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 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.
76 services74 patients
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.
68 services68 patients

Hospital Affiliations CMS Care Compare

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

St Peters Health

Acute Care Hospitals · Helena, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270003
Location2475 BroadwayHelena, MT 59601 · Lewis And Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59601 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.

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.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.22
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 3

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

DR. KACIE L MCKEON DMD
Dentist (General Practice)
630 N LAST CHANCE GULCH STE 1100
HELENA, MT 59601
Lewis And Clark County (406) 457-0000
JESSICA LANG RDH, LAP
Dental Hygienist
630 N LAST CHANCE GULCH STE 1100
HELENA, MT 59601
Lewis And Clark County (406) 646-2522
ELIZABETH GRANT MD
Family Medicine
630 N LAST CHANCE GULCH STE 1100
HELENA, MT 59601
Lewis And Clark County (406) 457-0000

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 Andrea Hedblom's NPI number?

The NPI number for Andrea Hedblom is 1992057038. It was assigned to this individual provider in the NPPES registry on October 14, 2012.

Where is Andrea Hedblom located?

Andrea Hedblom practices at 630 N Last Chance Gulch Ste 1100, Helena, MT 59601. The listed phone number is (406) 457-0000.

What is Andrea Hedblom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrea Hedblom enrolled in Medicare?

Yes. Andrea Hedblom 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 Andrea Hedblom accept?

Health plans from Blue Cross and Blue Shield of Montana and Providence Health Plan list Andrea Hedblom 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 Andrea Hedblom affiliated with any hospitals?

According to CMS data, Andrea Hedblom is affiliated with St Peters Health.

When was this NPI record last updated?

The NPPES record for Andrea Hedblom was last updated on June 18, 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.