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RYAN JOHN GILLES MD
NPI 1053519553
Family Medicine in Coeur D Alene, ID

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
1919 LINCOLN WAY, 315, COEUR D ALENE, ID 83814(208) 625-6000(208) 625-6001 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2020, Oct 25, 2016, Jan 28, 2016 (3 updates tracked since 2016).

About Ryan John Gilles Md NPPES

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

RYAN JOHN GILLES MD (NPI 1053519553) is an individual family medicine provider in Coeur D Alene, Idaho, licensed in Idaho (M10517) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Medical College Of Wisconsin (2007).

NPPES Registry Identity

NPI1053519553
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRYAN JOHN GILLESCredential: MD
Location Address1919 LINCOLN WAY, 315Coeur D Alene, ID 83814-2527
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-4000
Phone(208) 625-6000
Fax(208) 625-6001
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2007
Enumeration DateJuly 5, 2007
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1053519553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M10517
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1919 LINCOLN WAY, Coeur D Alene, ID 83814
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Other Identifiers 2

Other1196263ID · Medicare Ptan
Medicaid807773300ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Ryan John Gilles 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 ID5597899492
PECOS Enrollment IDI20100813000820
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 Ryan Gilles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kootenai Health, Inc.
0.2 mi
Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 472 clinicians in this Medicare group
NPI 1174661151 (208) 625-4000
Kootenai Health, Inc.
0.2 mi
Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 301 clinicians in this Medicare group
NPI 1174661151 (208) 625-4000

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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
256 services164 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
133 services117 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
100 services100 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
35 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services22 patients

Hospital Affiliations CMS Care Compare

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers23 claims49 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims19 services$1.14 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,560 services$1.49 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$18.51 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$4.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$95.13 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 16

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

CRYSTAL LEE PYRAK MD
Family Medicine
1919 LINCOLN WAY, STE 315
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
DR. MARIA R RODEBAUGH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1919 LINCOLN WAY, 211
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5500
MARIE NOEL SWART MD
Student in an Organized Health Care Education/Training Program
1919 LINCOLN WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
MR. TIMOTHY JAMES DOTY PA
Physician Assistant
1919 LINCOLN WAY, 415
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4595
DR. KEVIN ROBERT WEBB M.D.
Internal Medicine (Gastroenterology)
1919 LINCOLN WAY, STE 415
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4595
JONATHAN MOORE SHUPE M.D.
Family Medicine
1919 LINCOLN WAY, 315
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
BRITTANY T FICEK FNP
Nurse Practitioner
1919 LINCOLN WAY, 315
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
KATHERINE E NICOLICH DO
Student in an Organized Health Care Education/Training Program
1919 LINCOLN WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000

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 Ryan Gilles's NPI number?

The NPI number for Ryan Gilles is 1053519553. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Ryan Gilles located?

Ryan Gilles practices at 1919 Lincoln Way 315, Coeur D Alene, ID 83814. The listed phone number is (208) 625-6000.

What is Ryan Gilles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ryan Gilles enrolled in Medicare?

Yes. Ryan Gilles 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 Ryan Gilles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Gilles reassigns Medicare benefits to 2 organizations: Kootenai Health, Inc. (Coeur D Alene, ID) and Kootenai Health, Inc. (Coeur D Alene, 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 Ryan Gilles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Gilles accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ryan Gilles 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 Ryan Gilles affiliated with any hospitals?

According to CMS data, Ryan Gilles is affiliated with Kootenai Health.

When was this NPI record last updated?

The NPPES record for Ryan Gilles was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.