Individual provider Active NPI

Jeffery A Palen, DO

  • Obstetrics & Gynecology Physician
  • Great Falls, MT
National Provider Identifier
1114906658
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
43108 Issued in MT
Practice address
1401 25TH St S
Great Falls, MT 59405-5183
Phone
(406) 731-8888
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 43108 MT Primary

Addresses

Primary practice location

1401 25TH St S
Great Falls, MT 59405-5183

Mailing address

1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 731-8888

Other identifiers 1

IdentifierTypeStateIssuer
350306MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpalen19939@benefishs.direct-ci.com Benefis Hospitals Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111001949 MT Practitioner - Obstetrics/Gynecology 9032139092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

1645 Vandelay Ave
Helena, MT 59601-3929

2720 10TH Ave S
Great Falls, MT 59405-3240
Phone (406) 455-5000

915 4TH St NW
Choteau, MT 59422-9123
Phone (406) 455-5000

PO Box
Suite 6010
Great Falls, MT 59406-6010

Hospital & facility affiliations

  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
43108MTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc CurrentSince Nov 15, 2015 Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients
Obstetrix Medical Group of Arizona, P.C. Obstetrics & Gynecology Past Accepting new patients

Locations

915 4th St NW
Choteau, MT 59422
Phone (406) 466-5763

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

2720 10th Ave S
Fl 2
Great Falls, MT 59405
Phone (406) 731-8865

2720 10th Ave S
#1
Great Falls, MT 59405

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1645 Vandelay Ave
Ste 102
Helena, MT 59601
Phone (406) 389-2500

1645 Vandelay Ave
Ste 301
Helena, MT 59601
Phone (406) 389-2520

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1114906658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 25TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055183",
            "telephone_number": "406-731-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 25TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055183",
            "telephone_number": "406-731-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEN",
        "first_name": "JEFFERY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "43108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350306",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpalen19939@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "2720 10th Ave S Fl 2",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594053240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.