NORTHERN ROCKIES ORTHOPAEDICS, PLLP – Clinic/Center, NPI 1922008077

NORTHERN ROCKIES ORTHOPAEDICS, PLLP is a healthcare provider. based in Missoula, Montana. specializing in Clinic/Center. The NPI Number for NORTHERN ROCKIES ORTHOPAEDICS, PLLP is 1922008077

Main info

Organization
Name
NORTHERN ROCKIES ORTHOPAEDICS, PLLP
NPI
1922008077
Phone
(406) 728-6101
Address
2740 SOUTH AVE W STE 101
Authorized Official
JUSTIN A JACOBSON PARTNER MD
Enumeration Date
29 July 2005
Last Update Date
22 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for NORTHERN ROCKIES ORTHOPAEDICS, PLLP

  • 101, South Avenue West, Lewis & Clark, Missoula, Missoula County, Montana, 59801, United States

    MISSOULA, MT 598045137

    Phone: (406) 728-6101

    Fax: (406) 721-3278

    Type: Mailing

  • 2740, South Avenue West, Two Rivers, Orchard Homes, Missoula, Missoula County, Montana, 59804, United States

    SUITE 101

    MISSOULA, MT 598045114

    Phone: (406) 728-6101

    Fax: (406) 721-3278

    Type: Location

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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (922 days ago).

Enrollment records

2

Earliest due date

2023-11-30

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
O20040109000894OClinic/Group PracticeMT2023-11-30
O20100930023833OPhysician - Orthopedic/Orthopedic SurgeryMT2024-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 59804)

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Reviews

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Frequently asked questions

What federal number belongs to NORTHERN ROCKIES ORTHOPAEDICS, PLLP?
The federal identifier for NORTHERN ROCKIES ORTHOPAEDICS, PLLP is NPI 1922008077.
Does this profile mean NORTHERN ROCKIES ORTHOPAEDICS, PLLP is currently active?
Yes — NORTHERN ROCKIES ORTHOPAEDICS, PLLP appears active in the national provider directory.
What field does NORTHERN ROCKIES ORTHOPAEDICS, PLLP work in?
You can think of NORTHERN ROCKIES ORTHOPAEDICS, PLLP as practicing within Clinic/Center. Clinical services aligned with this taxonomy classification.
Where does public data place NORTHERN ROCKIES ORTHOPAEDICS, PLLP?
The snapshot lists Missoula, Montana for NORTHERN ROCKIES ORTHOPAEDICS, PLLP; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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