Individual provider Active NPI

Peder E. Horner, M.D.

  • Vascular & Interventional Radiology Physician
  • Bozeman, MT
National Provider Identifier
1235218942
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MED-PHYS-LIC-115210 Issued in MT
Practice address
1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Phone
(406) 587-8631
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MED-PHYS-LIC-115210 MT
Vascular & Interventional Radiology Physician 2085R0204X MED-PHYS-LIC-115210 MT Primary
Vascular & Interventional Radiology Physician 2085R0204X 46570 CO
Diagnostic Radiology Physician 2085R0202X 46570 CO

Addresses

Primary practice location

1648 Ellis St Ste 201
Bozeman, MT 59715-8811

Mailing address

1648 Ellis St Ste 201
Bozeman, MT 59715-8811
Phone (406) 587-8631

Other practice location 1

1746 Cole Blvd
Suite 150
Lakewood, CO 80401-3208
Phone (303) 914-8800 ext. 3016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081002000435 CO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0143398263 Reassigns benefits to 2 organizations
I20230530002593 MT Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0143398263 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Intercity Imaging LLCGroup PAC ID 0941238042, 13 clinicians
Intercity Radiology PCGroup PAC ID 9830003847, 14 clinicians

Practice addresses (Care Compare)

875 S Cottonwood Rd
Suite 150
Bozeman, MT 59718-4208
Phone 40658786311003

905 Highland Blvd
Suite 4100
Bozeman, MT 59715-6901
Phone (406) 556-5200

915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 587-8631

Hospital & facility affiliations

  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
  • Barrett Hospital & Healthcare Hospital, Dillon, MT, CCN 271318
  • Madison Valley Medical Center Hospital, Ennis, MT, CCN 271329
  • Bozeman Health Big Sky Medical Center Hospital, Big Sky, MT, CCN 271389
  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46570COMDVascular & Interventional Radiology Physician
MED-PHYS-LIC-115210MTMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Powder River County Family Medicine CurrentSince May 22, 2023 Accepting new patients
Spectrum Medical Imaging, LLC Diagnostic Radiology CurrentSince Mar 14, 2016 Accepting new patients
Livingston Healthcare Current Accepting new patients
Rosebud Community Hospital Inc Current Accepting new patients
Townsend Health Systems Inc, CurrentSince May 22, 2023 Accepting new patients
Yellowstone City-County Health Department CurrentSince May 22, 2023 Accepting new patients
Eastern Radiological Associates PC Diagnostic Radiology CurrentSince Jun 16, 2024 Accepting new patients
Big Horn Hospital Association CurrentSince May 22, 2023 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Billings Clinic Family Medicine CurrentSince May 22, 2023 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Livingston Healthcare Urgent Care CurrentSince May 22, 2023 Accepting new patients
Yellowstone City-County Health Dept CurrentSince May 22, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
Powder River County CurrentSince May 22, 2023 Accepting new patients
Deaconess Intercity Imaging LLC CurrentSince Jun 1, 2024 Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince May 22, 2023 Accepting new patients
Stillwater Hospital Association, Inc. CurrentSince May 22, 2023 Accepting new patients
Billings Clinic Family Medicine CurrentSince May 22, 2023 Accepting new patients
Livingston Healthcare CurrentSince May 22, 2023 Accepting new patients
Big Horn Hospital Association Diagnostic Radiology CurrentSince May 22, 2023 Accepting new patients
Townsend Health Systems, Inc. Current Accepting new patients
Intercity Radiology, PC CurrentSince Jun 1, 2024 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology PastSince Mar 14, 2016 Accepting new patients
Flatirons Radiology, LLC Diagnostic Radiology Past Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

2900 12th Ave N
Ste 4E
Billings, MT 59101
Phone (406) 245-6378

123 S 27th St
Billings, MT 59101
Phone (406) 247-3200

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

905 Highland Blvd
Ste 4100
Bozeman, MT 59715
Phone (406) 556-5200

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

1648 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 556-4649

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

17 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2310

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

110 N Oak St
Townsend, MT 59644
Phone (406) 266-3186

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 12

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1235218942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-587-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158811",
            "telephone_number": "406-587-8631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1746 Cole Blvd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "804013208",
            "country_code": "US",
            "telephone_number": "303-914-8800 x3016",
            "fax_number": "303-716-3777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNER",
        "first_name": "PEDER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-115210",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "MED-PHYS-LIC-115210",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "46570",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "46570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.