Individual provider Active NPI

Lance L Ercanbrack, M.D.

  • Surgery Physician
  • Libby, MT
National Provider Identifier
1609983352
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8804 Issued in MT
Practice address
34169 US Highway 2 Ste 3
Libby, MT 59923-8430
Phone
(406) 405-2112
Fax
(406) 405-3113
NPI assigned
Aug 25, 2006
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 8804 MT Primary

Addresses

Primary practice location

34169 US Highway 2 Ste 3
Libby, MT 59923-8430

Mailing address

34169 US Highway 2 Ste 3
Libby, MT 59923-8430
Phone (406) 405-2112

Other practice location 1

315 W Madison Ave
Chester, MT 59522-7801
Phone (406) 759-5181

Other practice location 2

802 2nd St SE
Cut Bank, MT 59427-3329
Phone (406) 873-2251

Other practice location 3

640 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3200

Other practice location 4

308 Louisiana Ave
Ste 1
Libby, MT 59923-2158
Phone (406) 283-6800

Other practice location 5

805 Sunset Blvd
Conrad, MT 59425-1717
Phone (406) 271-3211

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Logan Health - Shelby

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
I20081223000131 MT Practitioner - General Surgery 7012079213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

209 Health Park Dr
PO Box 1570
Libby, MT 59923-2001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.48 of 100Reported as individual
Quality
87.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8804MTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ercanbrack Surgical PC Surgery CurrentSince Sep 23, 2025 Accepting new patients
St. John's Lutheran Hospital, Inc. Past Accepting new patients

Locations

34169 US Highway 2
Ste 3
Libby, MT 59923
Phone (406) 405-2112

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 1

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1609983352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34169 US HIGHWAY 2 STE 3",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599238430",
            "telephone_number": "406-405-2112",
            "fax_number": "406-405-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34169 US HIGHWAY 2 STE 3",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599238430",
            "telephone_number": "406-405-2112",
            "fax_number": "406-405-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MT",
            "postal_code": "595227801",
            "country_code": "US",
            "telephone_number": "406-759-5181",
            "fax_number": "406-759-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 2nd St SE",
            "address_purpose": "LOCATION",
            "city": "Cut Bank",
            "state": "MT",
            "postal_code": "594273329",
            "country_code": "US",
            "telephone_number": "406-873-2251",
            "fax_number": "406-873-3118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MT",
            "postal_code": "594741663",
            "country_code": "US",
            "telephone_number": "406-434-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Louisiana Ave",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Libby",
            "state": "MT",
            "postal_code": "599232158",
            "country_code": "US",
            "telephone_number": "406-283-6800",
            "fax_number": "406-283-4060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Conrad",
            "state": "MT",
            "postal_code": "594251717",
            "country_code": "US",
            "telephone_number": "406-271-3211",
            "fax_number": "406-271-3917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERCANBRACK",
        "first_name": "LANCE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "8804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Shelby",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "640 Park Ave",
            "city": "Shelby",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594741663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

Verify at the official NPI Registry.