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Business phone system for physician practices in Billings, MT

Physician practices in the Billings, MT metro area: 98 establishments in 2023, the local area codes, and what phone service costs a 42-person team.

Establishments
98CBP 2023
Employees
4,134mid-March 2023
Per 100k residents
50.9U.S. 60.2
Rank
250th of 911areas by count

The medical practice market in Billings, MT

The Census Bureau's 2023 County Business Patterns lists 98 establishments classified as Offices of Physicians (except Mental Health Specialists) (NAICS 621111) in the Billings, MT metro area. They employed 4,134 people in mid-March and paid $487.2 million in annual payroll. By establishment count the area is 250th out of 911 areas with published figures for physician practices.

Measured against its 193,000 residents (2024 estimate), the area has 50.9 physician practices per 100,000 people; the U.S. rate is 60.2, so Billings, MT is 15.4% below the national figure. The average establishment here has 42.2 employees, compared with 13.2 nationally. Payroll per employee comes to $117,844, 11.5% above the national $105,652.

Physician practices: Billings, MT compared with Montana and the U.S., 2023
MeasureBillings, MTMontanaUnited States
Establishments98453204,617
Mid-March employees4,1349,8782,706,297
Annual payroll$487,169,000$1,170,770,000$285,925,593,000
Employees per establishment42.221.813.2
Payroll per employee$117,844$118,523$105,652
Establishments per 100,000 residents50.939.860.2

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

Establishment size: physician practices in Billings, MT

Of the physician practices in Billings, MT that had employees in March 2023, 38.7% had fewer than five (the U.S. share is 52.7%). 51.6% had fewer than ten. Small teams usually share the phone: the person who answers is often also serving a customer or doing the job, which is when calls get missed.

Physician practices in Billings, MT by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees3638.7%52.7%
5–9 employees1212.9%18.7%
10–19 employees2425.8%14.7%
20–49 employees2122.6%9.8%
50 or more employees00.0%4.2%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

What physician practices in Billings, MT use the phone for

Physician offices field a steady stream of scheduling, prescription refill and test-result calls, and the same few staff members usually answer all of them. Routing calls to the right person and capturing clear messages keeps the waiting room and the phone lines moving.

Calls a medical practice in Billings, MT might handle in a typical week include:

Texting patients

Practices typically text appointment reminders, arrival instructions and requests to call the office, keeping clinical details for secure channels.

Team texting on Callata runs from your business number, so replies come from the practice or shop rather than someone's personal phone. It turns on after the one-time $49 carrier registration (10DLC) is approved.

Callata vs. per-seat pricing for physician practices in Billings, MT

The average medical practice in Billings, MT has 42.2 employees, so a 42-person team is a reasonable benchmark. Priced per seat, 42 users would run $1,260.00 a month on RingCentral RingEX Core and $1,047.90 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). Callata comes to $839.00 a month for 42 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $5,052 less than RingCentral for a medical practice in Billings, MT of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 42-person medical practice
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$839.00$10,068.00
Quo (Starter)$19.00 per user$798.00$9,576.00
Nextiva (Core)$23.00 per user$966.00$11,592.00
Ooma (Office Pro)$24.95 per user$1,047.90$12,574.80
Dialpad (Standard)$27.00 per user$1,134.00$13,608.00
RingCentral (RingEX Core)$30.00 per user$1,260.00$15,120.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Local area codes for physician practices in Billings, MT

The exchanges in the area's named cities and towns are all in area code 406 (98 exchanges in NANPA's file). A local number lets patients in Billings, MT call without dialing out of area. Callata includes up to 3 local numbers, and which numbers are open in an area code depends on carrier inventory when you choose.

Area codes in the Billings, MT area by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
40698Mountain1947none

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

Setting up Callata for a medical practice in Billings, MT

Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.

Porting a number you already use in Billings, MT is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.

AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

Frequently asked questions

How many physician practices are there in Billings, MT?

Census County Business Patterns counted 98 physician practices in the Billings, MT metro area in 2023. They employed 4,134 people in mid-March.

What does a business phone system cost for a 42-person medical practice?

At month-to-month list prices checked September 28, 2026, 42 users cost $1,260.00 a month on RingCentral RingEX Core and $1,047.90 on Ooma Office Pro. On Callata, $99 a month with 5 users included, then $20 per additional user, the same team pays $839.00.

What area code should a medical practice in Billings, MT use?

Area code 406 has the most assigned exchanges among the area's named places. If you already have a local number, you can port it to Callata for free.

Can an AI receptionist answer calls for a medical practice?

Yes. Callata's optional AI agents can answer when the team is busy or closed, take a message, text, email or transfer the call. They disclose that they are AI and are billed from prepaid AI minutes at $0.25 per minute. Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.