DAVID E. MANGOLD (PA-C) – Medical Physician Assistant, NPI 1164533618
Medical Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
903 PHYSICIAN ASSISTANT in MT
Provider Addresses for DAVID E. MANGOLD (PA-C)
670 Park Ave
Shelby, MT 594741663
Phone: (406) 966-7040
Type: Location
640 Park Ave
Shelby, MT 594741663
Phone: (406) 434-3200
Type: Location
418 W Monroe Ave
Chester, MT 595227835
Phone: (406) 759-5181
Fax: (406) 759-5105
Type: Location
315 W Madison Ave
Chester, MT 595227801
Phone: (406) 759-5181
Fax: (406) 759-5799
Type: Location
20 FOUR MILE DR STE 2
KALISPELL, MT 599012644
Phone: (406) 300-4882
Fax: (406) 257-2706
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $1,702.
Total Amount is formed as General ($1,702) + Research ($0) + Ownership ($0) = $1,702.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Blueprint Medicines Corporation ($1,172).
Total Amount
$1,702
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,702
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Blueprint Medicines Corporation | $1,172 |
| Merck Sharp & Dohme LLC | $157 |
| AIMMUNE THERAPEUTICS, INC. | $125 |
| GENZYME CORPORATION | $37 |
| AstraZeneca Pharmaceuticals LP | $33 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040123000602 | I | Physician Assistant | MT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 47 | $0 |
| 96160 | Administration and interpretation of patient-focused health risk assessment | 51 | 37 | $0 |
| 95012 | Test to measure the level of nitric oxide gas | 32 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 23 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 16 | 14 | $0 |
Insurance plans in this area (ZIP 59474)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MT | 95004 | Injection of allergenic extracts into skin, accessed through the skin | 1362 | 62 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| - | MT | |
| Diagnostic Radiology | MT | |
| Family Practice | NC | |
| Nurse Practitioner | MT | |
| Physician Assistant | MT | |
| Emergency Medicine | CA | |
| Physician Assistant | OH | |
| Physician Assistant | WA | |
| Physician Assistant | MT |
Reviews
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