Timothy O'Brien, MD
Individual provider Active NPI Sports Medicine (Orthopaedic Surgery) Physician · Bozeman, MT
NPI 1922008374 · NPPES record last updated Oct 27, 2011
Key facts
- NPI
- 1922008374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License
- 10407 (MT)
- Practice address
- 536 Cottonwood Rd
Suite 100
Bozeman, MT 59718 - Phone
- (406) 586-8029
- Fax
- (406) 586-8009
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Warren Alpert Medical School of Brown University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alpine Orthopedics and Sports Medicine
Practice addresses (Care Compare)
536 S Cottonwood Rd
100 Alpine Orthopedics and Sports Medicine
Bozeman, MT 59718-9529
Phone (406) 586-8029
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
- Madison Valley Medical Center
- Livingston Healthcare
- Bozeman Health Big Sky Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.08 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 80.26
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 30 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 45 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 43 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120509000429 | MT | Practitioner - Orthopedic Surgery | 2365604303 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10407 | MT | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Orthopedics & Sports Medicine | Sports Medicine | Current |
Accepting new patients |
| Orthopedic Surgical Center of Montana, LLC | Past |
Accepting new patients | |
| Steadman Clinic Professional LLC | Sports Medicine | Past | Accepting new patients |
Locations
536 S Cottonwood Rd
Ste 100
Bozeman, MT 59718
Phone (406) 586-8029
536 S Cottonwood Rd
Ste 10
Bozeman, MT 59718
Phone (406) 586-8029
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 10407 | MT | Yes |
Addresses
Primary practice location
536 Cottonwood Rd
Suite 100
Bozeman, MT 59718
Mailing address
536 Cottonwood Rd
Suite 100
Bozeman, MT 59718
Phone (406) 586-8029
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95335 | Other | MT | BCBSMT |
| 1194070001 | Other | MT | CIGNA DME |
| 0064782 | Medicaid | MT |
Other providers in Bozeman, MT
- Nybo and Van Kirk Dental, LLC
- Norman Terrence Nybo
- Mallory Nye
- Nicole O'Brien
- Thomas P. O'Brien
- Jamie Allison O'Callaghan
- Eryn Julienne O'Connell
- Kristi A. O'Connor-Nyquist
- Alecia O'Donnell
- Abigail O'Neal
All providers in Bozeman, MT · Sports Medicine (Orthopaedic Surgery) Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.