NPPES file of Aug 9, 2026

Montana Medicare prescriber rankings

5,025 Montana prescribers billed $712.6 million in Medicare Part D drugs in 2024, the 47th largest of 56 states and territories. Opioids were 4.37 of every 100 of those claims (CMS), above the national 3.52.

CMS Medicare Part D Prescribers, 2024; CMS NPPES · method · Verify with CMS →

  • Prescribers5,025
  • Part D drug cost$712.6 million
  • Average per prescriber$141,820
  • Wrote an opioid (CMS)3,260 (64.88%)
  • Opioid claims per 100 claims (CMS)4.37

Reading the Montana tables

Montana's 5,025 prescribers wrote 5,271,302 Part D claims in 2024, about $141,820 in drug cost per prescriber. A high total usually reflects specialty practice, such as cancer, rheumatology or HIV care, or vaccines: 1 of the 50 largest totals are mostly vaccines, which pharmacies often bill under a standing order naming one clinician. These are billing tables, not quality ratings. PlainDoctor does not rank named prescribers by opioid share; the state's opioid figures above come from CMS's own totals.

The 50 highest Part D drug-cost totals

Prescriber (NPPES taxonomy)Drug costClaims
1David ChristiansonHematology & Oncology Physician$6.5 million2,939
2Lacy TangedahlFamily Nurse Practitioner$6.4 million2,154
3Melody NelsenRheumatology Physician$6.4 million6,055
4Troy FiddlerHematology & Oncology Physician$5.3 million2,190
5Patrick CobbHematology & Oncology Physician$5.1 million1,894
6Sarah ScottHematology & Oncology Physician$4.8 million2,335
7Bruno OliveiraRheumatology Physician$4.6 million3,681
8Rebecca BelsomRheumatology Physician$4.5 million4,013
9Kandis StricklandFamily Nurse Practitioner$4.4 million956
10Josette UelandFamily Nurse Practitioner$4.2 million1,665
11Michael SnyderHematology & Oncology Physician$4.1 million1,301
12Ryan RoopHematology & Oncology Physician$4.0 million1,565
13Tauna JefferyAdult Health Nurse Practitioner$3.8 million1,285
14Bryan MartinMedical Oncology Physician$3.7 million1,932
15Alan ThomasHematology & Oncology Physician$3.5 million1,680
16Justin ThomasMedical Oncology Physician$3.5 million1,029
17Jose NessMedical Oncology Physician$3.4 million1,507
18Ryan NahapetianPulmonary Disease Physician$3.3 million3,455
19John LinfordHematology & Oncology Physician$3.2 million1,345
20Sara QureshiNeurology Physician$2.9 million1,649
21Michael KiddHematology & Oncology Physician$2.9 million1,334
22Newton CoutinhoCardiovascular Disease Physician$2.8 million12,605
23James HueftleHematology & Oncology Physician$2.8 million2,909
24Emma JacksonMedical Physician Assistant$2.7 million835
25Timothy ObermillerPulmonary Disease Physician$2.6 million3,346
26Eliad CulceaNeurology Physician$2.6 million3,960
27Jamie RihaPulmonary Disease Physician$2.5 million424
28Jason KjonoPhysician Assistant$2.5 million6,409
29Dawn MurrayFamily Nurse Practitioner$2.4 million1,255
30Lance GriffinPhysician Assistant$2.3 million758
31Jessica KaaeHematology & Oncology Physician$2.3 million1,330
32Roger DiegelRheumatology Physician$2.2 million2,988
33Danielle BabcockPhysician Assistant$2.2 million2,832
34John MazurPulmonary Disease Physician$2.1 million3,020
35Alexander TaylorCardiovascular Disease Physician$2.1 million4,516
36James BennettRheumatology Physician$2.1 million2,158
37Peter WagnerHematology & Oncology Physician$2.0 million779
38Kara AddisonFamily Nurse Practitioner$2.0 million1,159
39Mark HancockHematology & Oncology Physician$2.0 million705
40Kenneth GrahamPediatrics Physicianmostly vaccines, often billed by pharmacies under a standing order naming this clinician$2.0 million9,200
41Sebastian WhiteNurse Practitioner$1.9 million3,283
42Patrick TangHematology & Oncology Physician$1.9 million1,115
43Courtney Regan WagnerHematology & Oncology Physician$1.9 million692
44Daniel MitchellInternal Medicine Physician$1.8 million8,708
45Rebecca DanforthRheumatology Physician$1.8 million2,700
46Larry SeveraFamily Medicine Physician$1.8 million23,979
47Trish DamsMedical Physician Assistant$1.8 million570
48Karl WestenfelderUrology Physician$1.7 million1,120
49Troy StilesPsychiatry Physician$1.7 million6,210
50Kris FrenchNeurology Physician$1.7 million2,870

Source: CMS Medicare Part D Prescribers by Provider, 2024 (data.cms.gov), matched to CMS NPPES by NPI; vaccine share from the prescriber's top drugs in the CMS by-provider-and-drug file. Specialty is the taxonomy the clinician reported to NPPES.

Common questions

How many Medicare prescribers are in Montana?

Montana has 5,025 Medicare Part D prescribers who filed 5,271,302 claims totaling $712.6 million in drug costs.

What is the opioid prescribing rate in Montana?

Opioids were 4.37 of every 100 Medicare Part D claims written by Montana prescribers in 2024, against 3.52 nationally (CMS). 3,260 of the state's 5,025 Part D prescribers in CMS's geography file (64.88%) wrote at least one opioid.

Checking a prescriber

Open the prescriber's record for the full NPI entry and prescribing detail, then confirm the license on the state board search. The Part D file covers Medicare Part D only; commercial, Medicaid, VA and cash prescriptions are not in it.

Prescriber rankings in other states

  1. Alabama
  2. Alaska
  3. American Samoa
  4. Arizona
  5. Arkansas
  6. California
  7. Colorado
  8. Connecticut
  9. Delaware
  10. District of Columbia
  11. Florida
  12. Georgia
  13. Guam
  14. Hawaii
  15. Idaho
  16. Illinois
  17. Indiana
  18. Iowa
  19. Kansas
  20. Kentucky
  21. Louisiana
  22. Maine
  23. Maryland
  24. Massachusetts
  25. Michigan
  26. Minnesota
  27. Mississippi
  28. Missouri
  29. Montana
  30. Nebraska
  31. Nevada
  32. New Hampshire
  33. New Jersey
  34. New Mexico
  35. New York
  36. North Carolina
  37. North Dakota
  38. Northern Mariana Islands
  39. Ohio
  40. Oklahoma
  41. Oregon
  42. Pennsylvania
  43. Puerto Rico
  44. Rhode Island
  45. South Carolina
  46. South Dakota
  47. Tennessee
  48. Texas
  49. Utah
  50. Vermont
  51. Virgin Islands
  52. Virginia
  53. Washington
  54. West Virginia
  55. Wisconsin
  56. Wyoming

National prescriber rankings · All rankings

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Medicare Part D data year 2024 (CMS).