PAUL ANDREW PUCKETT (M.D.) – Orthopaedic Hand Surgery Physician, NPI 1174502017

PAUL ANDREW PUCKETT (M.D.) is a healthcare provider. based in Missoula, Montana. specializing in HAND SURGERY, ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 8250 (MT). The NPI Number for PAUL ANDREW PUCKETT (M.D.) is 1174502017

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
PAUL ANDREW PUCKETT (M.D.)
NPI
1174502017
Phone
(406) 721-4436
Address
2360 MULLAN RD
Enumeration Date
10 January 2006
Last Update Date
12 December 2019

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4067214436
Graduation Year
1991 (35 years ago)
PAC ID
7113918715
Group Practice PAC ID
3870583990
Professional Enrollment ID
I20040521000807
Address ID
MT598081811MI2360XRDXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13 HAND SURGERY in MT

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Provider Addresses for PAUL ANDREW PUCKETT (M.D.)

  • 2360, Mullan Road, Westside, Missoula, Missoula County, Montana, 59808, United States

    SUITE C

    MISSOULA, MT 598081811

    Phone: (406) 721-4436

    Fax: (406) 721-6053

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-05-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040521000807IHand SurgeryMTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0775Injection, collagenase, clostridium histolyticum, 0.01 mg2,03821$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg437113$0
99213Established patient office or other outpatient visit, 20-29 minutes381253$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12043$0
99203New patient office or other outpatient visit, 30-44 minutes113113$0
View full utilization report →

Insurance plans in this area (ZIP 59808)

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Provider's Procedures

PAUL ANDREW PUCKETT (M.D.) performs procedures in HAND SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HAND SURGERYMT73110X-ray of wrist, minimum of 3 views4124

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870583990View full group profile
NameSpecialtyState
Physician AssistantMT
Physician AssistantUT
A N E S T H E S I O L O G YCA
Orthopedic SurgeryMT
Physical Therapist In Private PracticeMT
Physician AssistantMT
A N E S T H E S I O L O G YMT
Orthopedic SurgeryMT
-MT
Orthopedic Surgery, Hand SurgeryMN

Reviews

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Frequently asked questions

Is PAUL ANDREW PUCKETT (M.D.) listed with a National Provider Identifier?
Yes — PAUL ANDREW PUCKETT (M.D.) has NPI 1174502017 on file in the registry.
Active or inactive — what applies to PAUL ANDREW PUCKETT (M.D.)?
You should see PAUL ANDREW PUCKETT (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for PAUL ANDREW PUCKETT (M.D.)?
At a glance, PAUL ANDREW PUCKETT (M.D.) is tied to Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with PAUL ANDREW PUCKETT (M.D.)?
Directory geography for PAUL ANDREW PUCKETT (M.D.) centers on Missoula, Montana.
Can I trust this NPI listing for PAUL ANDREW PUCKETT (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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