Active NPI 1346637287 Individual Practitioner Male Practitioner

Dr. James Joseph Verlanic , MD

Surgery • Helena, MT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Verlanic, MD is a certified Surgery practicing in Helena, MT. With approximately 11 years of clinical experience since graduating from University Of Nevada School Of Medicine in 2015, Dr. Verlanic delivers high-quality medical care to the local community at 2475 E BROADWAY ST.

Dr. Verlanic is affiliated with St Peters Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2475 E Broadway St

Helena, MT 596014928

Telephone 4064574180

Associated Practice Facility / Clinic

🏢 St. Peter's Health Facility NPI 1528023520

Medicare Profile & Education

Medical School

University Of Nevada School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Helena, MT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -12.3 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

11 Specialists

Practicing in Helena, MT (144 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Verlanic (11 Years) 11 Yrs

Helena Specialty Average (23.3 Years) 23.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	39	$201.35	$94.86
99213 Established patient office or other outpatient visit, typically 15 minutes	49	41	$139.30	$64.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$306.95	$130.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$215.82	$80.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$850.69	$246.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$404.80	$168.87
45380 Biopsy of large bowel using an endoscope	17	17	$754.99	$183.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$289.09	$127.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$142.48	$76.91
49650 Repair of groin hernia using an endoscope	11	11	$897.63	$410.72
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$627.35	$178.14
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$591.23	$116.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	44	$128.58	$65.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$195.50	$81.67
45380 Biopsy of large bowel using an endoscope	40	40	$736.79	$112.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$188.64	$97.36
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	13	$194.80	$118.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$830.47	$251.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$386.75	$173.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$295.28	$133.17
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$609.82	$183.37
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$616.63	$183.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$573.00	$122.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$210.00	$112.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	38	$120.18	$67.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$179.50	$81.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	19	$194.80	$102.36
45380 Biopsy of large bowel using an endoscope	27	27	$736.79	$160.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	21	$277.65	$135.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	18	$178.49	$99.03
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$616.63	$179.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$830.47	$256.59
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$616.63	$186.76
47562 Removal of gallbladder using an endoscope	12	12	$1284.00	$681.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	64	64	$96.26	$5.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	22	$194.80	$102.06
99213 Established patient office or other outpatient visit, typically 15 minutes	53	42	$120.46	$67.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$179.33	$84.32
45380 Biopsy of large bowel using an endoscope	41	41	$736.79	$148.74
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$830.47	$257.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$277.65	$132.75
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$616.63	$176.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$176.77	$100.38
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$616.63	$188.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	14	14	$96.26	$5.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$177.94	$78.66

Medical Specialties & State Licenses

CMS Verified: 2020-08-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MT MED-PHYS-LIC-87666

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

St Peters Health

2525 E Broadway St, Helena, MT 596018049

Phone: 4064574180

Secondary Practice Locations

1 University Of New Mexico, Msc 10 6000

Albuquerque, NM 871310001

Phone: 5052726487

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. John Cassani , DO

Family Medicine

NPI 1003894320

Doctor of Osteopathic Medicine (D.O.)

Dr. Stephanie Schritter , PharmD, BCPS

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1013601848

Doctor of Pharmacy (Pharm.D.), BCPS

Madeline Hellinger

Pharmacist

NPI 1013747344

Laura Bennett , PA

Physician Assistant - Medical

NPI 1023010717

Physician Assistant

Dr. Andrew Gilbert , MD

Family Medicine

NPI 1043269897

Doctor of Medicine (M.D.)

Dr. Tracy Dill , MD

Internal Medicine

NPI 1043311673

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location August 11, 2020

Registered at 2475 E BROADWAY ST, HELENA, MT 596014928 (Tel: 4064574180)

📍

Updated Business Mailing Address August 11, 2020

Registered at 2475 E BROADWAY ST, HELENA, MT 596014928 (Tel: 4064574180)

👤

Provider Name / Credentials Updated August 11, 2020

Recorded as JAMES VERLANIC, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2020

Surgery (License #MED-PHYS-LIC-87666 in MT)

✅

NPI Profile Active April 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 20, 2015

Registered at 1 UNIVERSITY OF NEW MEXICO, MSC 10 6000, ALBUQUERQUE, NM 871310001 (Tel: 5052726487)

📍

Updated Business Mailing Address April 20, 2015

Registered at 1 UNIVERSITY OF NEW MEXICO, MSC 10 6000, ALBUQUERQUE, NM 871310001 (Tel: 5052726487)

👤

Provider Name / Credentials Updated April 20, 2015

Recorded as JAMES VERLANIC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 17, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. James Verlanic. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1346637287

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 17, 2015

Last Update: August 11, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2475 E Broadway St

Helena, MT 596014928

Phone: 4064574180

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.