Active NPI
Peter Gordon Vondoersten, MD
- Otolaryngology Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 8110
- Practice address
- 700 W Kent Ave
Missoula, MT 59801-6772 - Phone
- (406) 541-3277
- Fax
- (406) 541-3950
- NPI assigned
- Sep 13, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 8110 | MT | Primary |
Addresses
Primary practice location
700 W Kent Ave
Missoula, MT 59801-6772
Mailing address
PO Box 4907
700 West Kent
Missoula, MT 59806-4907
Phone (406) 541-3277
Other practice location 1
2760 Elizabeth Warren Ave Ste B
Butte, MT 59701-3979
Phone (406) 792-1250
Other practice location 2
120 S 5th St Ste 104
Hamilton, MT 59840-2798
Phone (406) 363-3366
Other practice location 3
925 Highland Blvd Ste 1160
Bozeman, MT 59715-6905
Phone (406) 414-3780
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019773 | Medicaid | MT | |
| 118619100 | Medicaid | WY | |
| 804154700 | Medicaid | ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pvondoersten9871132@direct.sanfordhealth.org | Direct | Bozeman Health Deaconess Hospital |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Missouri, Columbia School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence St Joseph Medical Center
Practice addresses (Care Compare)
6 13TH Ave E
Polson, MT 59860-5315
Phone (406) 883-5377
700 W Kent Ave
Missoula, MT 59801-6772
Phone (406) 541-3937
Hospital & facility affiliations
- St. Patrick Hospital
- Bitterroot Health - Daly Hospital
- Providence St Joseph Medical Center
- Billings Clinic Hospital
- St James Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8110 | MT | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Rocky Mountain Ear Nose & Throat Center PC | Otolaryngology | Current | Accepting new patients |
| Marcus Daly Memorial Hospital Corp | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Providence St Joseph Medical Center | Current | Accepting new patients | |
| Providence St Joseph Medical Center | Current | Accepting new patients | |
| Credena Health LLC | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
925 Highland Blvd
Ste 1160
Bozeman, MT 59715
Phone (406) 414-3780
925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
2760 Elizabeth Warren Ave
Ste B
Butte, MT 59701
Phone (406) 792-1250
120 S 5th St
Ste 104
Hamilton, MT 59840
Phone (406) 363-3366
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
700 W Kent Ave
Missoula, MT 59801
Phone (406) 541-3277
6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377
Interoperability endpoints
- pvondoersten207096@wm.providencedirect.org
Organizations & group practices 11
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.
-
- Otolaryngology Physician
- Missoula, MT
- NPI 1306857917
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1619347390
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- Family Medicine Physician
- Polson, MT
- NPI 1669655528
-
- Critical Access Hospital
- Polson, MT
- NPI 1821184888
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1013733955
-
- Emergency Medicine Physician
- Bozeman, MT
- NPI 1437529112
-
- Community/Retail Pharmacy
- Polson, MT
- NPI 1164809778
-
- Orthopaedic Surgery Physician
- Hamilton, MT
- NPI 1457656548
-
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1619962990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4907",
"address_2": "700 WEST KENT",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598064907",
"telephone_number": "406-541-3277",
"fax_number": "406-541-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W KENT AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016772",
"telephone_number": "406-541-3277",
"fax_number": "406-541-3950"
}
],
"practiceLocations": [
{
"address_1": "2760 Elizabeth Warren Ave Ste B",
"address_purpose": "LOCATION",
"city": "Butte",
"state": "MT",
"postal_code": "597013979",
"country_code": "US",
"telephone_number": "406-792-1250",
"fax_number": "406-541-3811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 S 5th St Ste 104",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "MT",
"postal_code": "598402798",
"country_code": "US",
"telephone_number": "406-363-3366",
"fax_number": "406-541-3811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "925 Highland Blvd Ste 1160",
"address_purpose": "LOCATION",
"city": "Bozeman",
"state": "MT",
"postal_code": "597156905",
"country_code": "US",
"telephone_number": "406-414-3780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VONDOERSTEN",
"first_name": "PETER",
"middle_name": "GORDON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MT",
"license": "8110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019773",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118619100",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804154700",
"state": "ID"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pvondoersten9871132@direct.sanfordhealth.org",
"affiliation": "Y",
"affiliationName": "Bozeman Health Deaconess Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "915 Highland Blvd",
"city": "Bozeman",
"state": "MT",
"country_code": "US",
"postal_code": "597156902",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 10, 2025; 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.