Individual provider Active NPI

Dale R Mortenson, MD, FACS

  • Surgery Physician
  • Great Falls, MT
National Provider Identifier
1801949722
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7773 Issued in MT
Practice address
400 13TH Ave S Ste 102
Great Falls, MT 59405-4300
Phone
(406) 731-8888
Fax
(406) 731-8318
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 7773 MT Primary

Addresses

Primary practice location

400 13TH Ave S Ste 102
Great Falls, MT 59405-4300

Mailing address

PO Box 6010
Great Falls, MT 59406-6010
Phone (406) 731-8888

Other identifiers 4

IdentifierTypeStateIssuer
0000099960OtherMTBLUE CROSS BLUE SHIELD
020053444OtherMTRAILROAD MEDICARE
608333600OtherMTUS DEPT OF LABOR
0000048433MedicaidMT

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
I20100126000187 MT Practitioner - General Surgery 9739132762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Southern Illinois University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

2800 11TH Ave S
Suite 20
Great Falls, MT 59405-5263
Phone (406) 455-5000

Hospital & facility affiliations

  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012
  • Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086
  • Northern Montana Hospital Hospital, Havre, MT, CCN 271348
  • Missouri River Medical Center Hospital, Fort Benton, MT, CCN 271304
  • Pondera Medical Center Hospital, Conrad, MT, CCN 271324

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

Merit-based Incentive Payment System (MIPS)

Final score
25.18 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion52
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)24
Mastectomy24
Upper gastrointestinal (GI) endoscopy for acid reflux18
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7773MTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Falls Surgical Associates Surgery CurrentSince Aug 1, 2002 Accepting new patients
Benefis Hospitals Inc CurrentSince May 22, 2024 Accepting new patients
Benefis Hospitals, Inc. CurrentSince May 22, 2024 Accepting new patients
Benefis Hospitals, Inc. PastSince May 22, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

2800 11th Ave S
Ste 20
Great Falls, MT 59405
Phone (406) 761-1534

400 13th Ave S
Ste 102
Great Falls, MT 59405
Phone (406) 452-0877

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1645 Vandelay Ave
Ste 301
Helena, MT 59601
Phone (406) 389-2520

1645 Vandelay Ave
Ste 201
Helena, MT 59601
Phone (406) 389-2505

Interoperability endpoints

  • Direct secure messaging: dmortenson32490@benefishs.direct-ci.com

Organizations & group practices 5

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1801949722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6010",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594066010",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 13TH AVE S STE 102",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054300",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "DALE",
        "middle_name": "R",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "7773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000099960",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020053444",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "608333600",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000048433",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.