NPIMap

Individual provider Active NPI

Larry R. Stayner, M.D.

  • Orthopaedic Surgery Physician
  • Missoula, MT
National Provider Identifier
1174523336
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
10053 Issued in MT
Practice address
2740 South Ave W Ste 101
Missoula, MT 59804-5137
Phone
(406) 728-6101
Fax
(406) 721-3278
NPI assigned
Jul 28, 2005
Last updated
May 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 10053 MT Primary

Addresses

Primary practice location

2740 South Ave W Ste 101
Missoula, MT 59804-5137

Mailing address

2740 South Ave W Ste 101
Missoula, MT 59804-5137
Phone (406) 728-6101

Other identifiers 1

IdentifierTypeStateIssuer
0045577MedicaidMT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129001260 MT Practitioner - Orthopedic Surgery 1355244070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northern Rockies Orthopaedics, PLLPGroup PAC ID 6507766227, 25 clinicians

Practice addresses (Care Compare)

2740 S Ave W
Suite 101
Missoula, MT 59804-5137
Phone (406) 728-6101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10053MTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Rockies Orthopaedics, PLLP Orthopaedic Surgery CurrentSince Aug 26, 2002 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Nropt PLLC PastSince Feb 1, 2018 Accepting new patients

Locations

2740 South Ave W
Ste 101
Missoula, MT 59804
Phone (406) 543-0617

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2831 Fort Missoula Rd
Ste 232
Missoula, MT 59804
Phone (406) 523-5650

2833 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 542-6559

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1174523336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 SOUTH AVE W STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045137",
            "telephone_number": "406-728-6101",
            "fax_number": "406-721-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 SOUTH AVE W STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045137",
            "telephone_number": "406-728-6101",
            "fax_number": "406-721-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAYNER",
        "first_name": "LARRY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "10053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045577",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.