Active NPI 1962565432 Individual Practitioner Male Practitioner

Dr. Stephen G Milheim , MD

Surgery • Shelby, MT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Milheim, MD is a certified Surgery practicing in Shelby, MT. With approximately 39 years of clinical experience since graduating from Harvard Medical School in 1987, Dr. Milheim delivers high-quality medical care to the local community at 640 PARK AVE.

Dr. Milheim maintains professional affiliations with Logan Health - Shelby, Logan Health - Conrad and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

640 Park Ave

Shelby, MT 594741663

Telephone 4064343207

Associated Practice Facility / Clinic

🏢 Toole County Facility NPI 1780671834

Medicare Profile & Education

Medical School

Harvard Medical School

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Shelby, MT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs Matches City Avg

City Avg: 39.0 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

1 Specialists

Practicing in Shelby, MT (144 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Milheim (39 Years) 39 Yrs

Shelby Specialty Average (39.0 Years) 39.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	47	$65.88	$34.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$76.00	$76.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	25	$164.00	$71.80
49505 Repair of groin hernia (5 years or older)	24	24	$1448.21	$564.63
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$68.33	$61.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$309.00	$135.91
49568 Placement of mesh to repair incisional or abdominal hernia	14	13	$622.00	$272.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$89.00	$38.34
46600 Diagnostic examination of the anus using an endoscope	13	13	$45.00	$41.10
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$55.50	$45.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	28	$89.00	$40.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	45	$309.00	$142.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$81.00	$78.74
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$54.00	$53.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	27	$29.34	$26.90
49505 Repair of groin hernia (5 years or older)	23	23	$1251.87	$560.98
46600 Diagnostic examination of the anus using an endoscope	13	13	$45.00	$43.25
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$63.08	$51.36
47562 Removal of gallbladder using an endoscope	12	12	$1526.00	$719.91
99219 Hospital observation care, typically 50 minutes	12	12	$307.00	$139.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$83.00	$81.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$87.67	$79.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	37	$85.83	$40.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	42	$32.40	$26.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	41	$300.05	$141.74
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$60.13	$51.09
49505 Repair of groin hernia (5 years or older)	30	30	$1233.03	$586.46
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$55.85	$52.17
47562 Removal of gallbladder using an endoscope	19	19	$1495.32	$731.84
99238 Hospital discharge day management, 30 minutes or less	15	15	$154.87	$75.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$83.00	$81.00
99219 Hospital observation care, typically 50 minutes	11	11	$297.18	$140.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	46	$27.00	$26.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	39	$78.29	$40.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$84.83	$78.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	30	$274.84	$141.61
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$52.84	$52.01
49505 Repair of groin hernia (5 years or older)	23	23	$1095.48	$551.26
99238 Hospital discharge day management, 30 minutes or less	20	20	$144.30	$75.39
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$51.00	$50.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	11	$144.94	$75.11
47562 Removal of gallbladder using an endoscope	12	12	$1389.00	$728.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	34	$27.00	$26.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$79.00	$77.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	28	$78.00	$40.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	25	$145.00	$73.46
49505 Repair of groin hernia (5 years or older)	22	22	$1102.50	$572.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$275.00	$140.06
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$204.00	$104.24
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$51.00	$50.29
47562 Removal of gallbladder using an endoscope	14	14	$1325.07	$637.70
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$53.00	$51.92
99238 Hospital discharge day management, 30 minutes or less	12	12	$144.00	$73.60

Medical Specialties & State Licenses

CMS Verified: 2024-12-17

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MT 7100

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.

Hospital & Practice Group Affiliations

Logan Health - Conrad

809 Sunset Blvd, Conrad, MT 594251799

Phone: 4062713231

Logan Health - Shelby

640 Park Ave, Shelby, MT 594741663

Phone: 4064343200

Secondary Practice Locations

802 2nd St Se

Cut Bank, MT 594273329

Phone: 4068732251

805 Sunset Blvd

Conrad, MT 594251717

Phone: 4062713211

1333 Surgical Services Way

Kalispell, MT 599014844

Phone: 4067525000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Molly Asper

Nurse Practitioner - Gerontology

NPI 1255955571

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location December 17, 2024

Registered at 640 PARK AVE, SHELBY, MT 594741663 (Tel: 4064343207)

✅

NPI Profile Active August 29, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2017

Registered at 1333 SURGICAL SERVICES WAY, KALISPELL, MT 599014844 (Tel: (406) 752-5000)

📍

Updated Business Mailing Address August 29, 2017

Registered at 1333 SURGICAL SERVICES WAY, KALISPELL, MT 599014844 (Tel: (406) 752-5000)

👤

Provider Name / Credentials Updated August 29, 2017

Recorded as STEPHEN MILHEIM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2017

Surgery (License #7100 in MT)

✅

NPI Profile Active March 14, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2012

Registered at 1273 BURNS WAY, KALISPELL, MT 599013109 (Tel: 4067525000)

📍

Updated Business Mailing Address March 14, 2012

Registered at 1273 BURNS WAY, KALISPELL, MT 599013109 (Tel: 4067525000)

👤

Provider Name / Credentials Updated March 14, 2012

Recorded as STEPHEN MILHEIM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2012

Surgery (License #7100 in MT)

🟢

Initial NPI Registration & Enumeration December 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962565432

Entity Type:

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

Enumeration Date: December 18, 2006

Last Update: December 17, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1333 Surgical Services Way

Kalispell, MT 599014844

Phone: 4067525000

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.