Individual provider Active NPI

Peter Walsh, DO

  • Gastroenterology Physician
  • Bozeman, MT
National Provider Identifier
1255372736
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
59075 Issued in MT
Practice address
875 S Cottonwood Rd Ste 200
Bozeman, MT 59718-4208
Phone
(406) 414-5336
Fax
(406) 414-5337
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 59075 MT Primary

Addresses

Primary practice location

875 S Cottonwood Rd Ste 200
Bozeman, MT 59718-4208

Mailing address

915 Highland Blvd
Attn PFS Credentialing
Bozeman, MT 59715-6902
Phone (406) 414-5000

Other identifiers 1

IdentifierTypeStateIssuer
1255372736MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pwalsh10728839@direct.sanfordhealth.org Direct

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
I20171201000049 MT Practitioner - GastroenterologyPractitioner - Internal Medicine 9537050596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

931 Highland Blvd
Suite 3350
Bozeman, MT 59715-6914
Phone (406) 414-5336

Hospital & facility affiliations

  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
  • Bozeman Health Big Sky Medical Center Hospital, Big Sky, MT, CCN 271389
  • Livingston Healthcare Hospital, Livingston, MT, CCN 271317
  • Madison Valley Medical Center Hospital, Ennis, MT, CCN 271329

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
72.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy188
Upper gastrointestinal (GI) endoscopy for acid reflux198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59075MTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Apr 16, 2018 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Apr 16, 2018 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2018 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2018 Accepting new patients
Belgrade Clinic PLLP Current Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Grand Junction Endoscopy Center, Prof LLC PastSince Dec 16, 2004 Accepting new patients
Grand Junction Gastroenterology, PLLC Gastroenterology Past Accepting new patients

Locations

925 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-3780

875 S Cottonwood Rd
Bozeman, MT 59718
Phone (406) 414-4100

875 S Cottonwood Rd
Ste 200
Bozeman, MT 59718
Phone (406) 414-5336

931 Highland Blvd
Ste 3350
Bozeman, MT 59715
Phone (406) 414-5331

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

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

Interoperability endpoints

  • Direct secure messaging: pwalsh10728839@direct.sanfordhealth.org

Organizations & group practices 9

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 7

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1255372736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "address_2": "ATTN PFS CREDENTIALING",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S COTTONWOOD RD STE 200",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184208",
            "telephone_number": "406-414-5336",
            "fax_number": "406-414-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "PETER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MT",
            "license": "59075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255372736",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pwalsh10728839@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "875 S Cottonwood Rd Ste 200",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597184208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.