NPI: 1083626832 · BOZEMAN, MT 59718 · Sports Medicine (Orthopaedic Surgery) Physician · NPI assigned 08/12/2006
| Authorized Official | DEIBERT, MARK (PRESIDENT) |
| NPI Enumeration Date | 08/12/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12 | 12 | $1K |