Active NPI
G Gregg Neibauer, D.P.M.
- Foot Surgery Podiatrist
- Missoula, MT
National Provider Identifier
1154500544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 160
- Practice address
- 1845 Bancroft St
Missoula, MT 59801-5747 - Phone
- (406) 721-4007
- Fax
- (406) 549-9807
- NPI assigned
- Nov 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 160 | MT | Primary |
Addresses
Primary practice location
1845 Bancroft St
Missoula, MT 59801-5747
Mailing address
1845 Bancroft St
Missoula, MT 59801-5747
Phone (406) 721-4007
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00097318 | Other | MT | RAILROAD MEDICARE |
| 97315 | Other | MT | BLUE CROSS BLUE SHIELD |
| 000084041 | Other | MT | MEDICARE GROUP PIN |
| 0390779 | Medicaid | MT |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1845 Bancroft St
Missoula, MT 59801-5747
Phone (406) 721-4007
Hospital & facility affiliations
- Community Medical Center
- St. Patrick Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.53 of 100
- Quality
- 49.93
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 204 |
| Removal of skin lesions | 50 |
| Removal of nail tissue | 1089 |
| Removal or shaving of skin growth | 632 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3208 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 160 | MT | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G Gregg Neibauer, DPM, Inc | Foot Surgery | Current | Accepting new patients |
| Dpmwoleryproh LLC | Past | Accepting new patients | |
| Dpmgiaimoproh LLC | Foot Surgery | Past | Accepting new patients |
Locations
1845 Bancroft St
Missoula, MT 59801
Phone (406) 721-4007
Interoperability endpoints
- gneibauer@alpinefootdpm.emadirect.md
Organizations & group practices 3
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.
-
- Foot Surgery Podiatrist
- Missoula, MT
- NPI 1710928072
-
- Primary Podiatric Medicine Podiatrist
- Portsmouth, OH
- NPI 1215983770
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1154500544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 BANCROFT ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015747",
"telephone_number": "406-721-4007",
"fax_number": "406-549-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 BANCROFT ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015747",
"telephone_number": "406-721-4007",
"fax_number": "406-549-9807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIBAUER",
"first_name": "G",
"middle_name": "GREGG",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-01",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MT",
"license": "160",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00097318",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "97315",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "000084041",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0390779",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.