1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Orthopaedic Surgery
  6. NPI Profile

GUY ERIC GROOMS MD
NPI 1053316786
Orthopaedic Surgery in Idaho Falls, ID

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
535 W SUNNYSIDE RD STE 2, IDAHO FALLS, ID 83402(208) 357-9700(208) 963-3245 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2025, Dec 28, 2018 (2 updates tracked since 2018).

About Guy Eric Grooms Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUY ERIC GROOMS MD (NPI 1053316786) is an individual orthopaedic surgery provider in Idaho Falls, Idaho, licensed in Idaho (M-13759) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Chicago College Of Medicine And Surgery (1989).

NPPES Registry Identity

NPI1053316786
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameGUY ERIC GROOMSCredential: MD
Location Address535 W SUNNYSIDE RD STE 2Idaho Falls, ID 83402-4647
Mailing Address535 W Sunnyside Rd Ste 2Idaho Falls, ID 83402-4647 · (208) 357-9700 · Fax (208) 963-3245
Phone(208) 357-9700
Fax(208) 963-3245
Sole ProprietorYes
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1989
Enumeration DateJune 17, 2005
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1053316786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in ID · M-13759
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedSpecialistTaxonomy 174400000X · License 20183 (OK)
535 W SUNNYSIDE RD STE 2, Idaho Falls, ID 83402
Open in Google Maps ↗

Other Identifiers 1

Medicaid100213780AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Guy Eric Grooms Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103715586
PECOS Enrollment IDI20170614001672
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Guy Grooms reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rocky Mountain Medical LLC
Same address
Internal Medicine
535 W SUNNYSIDE RD STE 2
Idaho Falls, ID 83402
  • Reassigned Medicare billing, Idaho enrollment
  • 3 clinicians in this Medicare group
NPI 1295580082 (208) 357-9700
North Canyon Medical Center, Inc.
140 mi
Medicare Defined Swing Bed Unit
267 NORTH CANYON DRIVE
Gooding, ID 83330
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1609046671 (Idaho)
  • 180 clinicians in this Medicare group
NPI 1275703241 (208) 934-4433

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
78 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

North Canyon Medical Center

Critical Access Hospitals · Gooding, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131302
Location267 North Canyon DrGooding, ID 83330 · Gooding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$90.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HELIX MEDICAL LLC
Internal Medicine (Rheumatology)
535 W SUNNYSIDE RD STE 2
IDAHO FALLS, ID 83402
Bonneville County (208) 291-1208
ROCKY MOUNTAIN MEDICAL LLC
Internal Medicine
535 W SUNNYSIDE RD STE 2
IDAHO FALLS, ID 83402
Bonneville County (208) 357-9700
ALYSSA MAY JACK PA-C
Physician Assistant
535 W SUNNYSIDE RD STE 2
IDAHO FALLS, ID 83402
Bonneville County (208) 357-9700
ROCKY MOUNTAIN MEDICAL LLC
Internal Medicine
535 W SUNNYSIDE RD STE 2
IDAHO FALLS, ID 83402
Bonneville County (208) 330-3007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Guy Grooms's NPI number?

The NPI number for Guy Grooms is 1053316786. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Guy Grooms located?

Guy Grooms practices at 535 W Sunnyside Rd Ste 2, Idaho Falls, ID 83402. The listed phone number is (208) 357-9700.

What is Guy Grooms's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Guy Grooms enrolled in Medicare?

Yes. Guy Grooms is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Guy Grooms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guy Grooms reassigns Medicare benefits to 2 organizations: Rocky Mountain Medical LLC (Idaho Falls, ID) and North Canyon Medical Center, Inc. (Gooding, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guy Grooms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guy Grooms accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Guy Grooms as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Guy Grooms affiliated with any hospitals?

According to CMS data, Guy Grooms is affiliated with St Lukes Magic Valley Medical Center and North Canyon Medical Center.

When was this NPI record last updated?

The NPPES record for Guy Grooms was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.