BRENT BLUE MD
NPI 1063467538
Family Medicine in Driggs, ID

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
190 MUSTANG DRIVE, DRIGGS, ID 83422(307) 733-7835(307) 201-4999 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Dec 23, 2025, Jan 23, 2021 and 1 more (4 updates tracked since 2021).

About Brent Blue Md NPPES

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

BRENT BLUE MD (NPI 1063467538) is an individual family medicine provider in Driggs, Idaho, licensed in Wyoming (3416A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Medical Center, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1063467538
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRENT BLUECredential: MD
Location Address190 MUSTANG DRIVEDriggs, ID 83422-0000
Mailing AddressPo Box 25Wilson, WY 83014-0025 · (307) 733-7835 · Fax (307) 201-4999
Fax(307) 201-4999
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1976
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 6, 20264 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1063467538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WY · 3416A
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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License A31472 (CA)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 3416A (WY)
190 MUSTANG DRIVE, Driggs, ID 83422

Secondary Practice Location 1

Location 1945 W Broadway Ave Apt 202Jackson, WY 83001-8217 · Phone (307) 733-7835 · Fax (307) 201-4999

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brent Blue 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 ID2466403886
PECOS Enrollment IDI20100920000271
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.

Areas of Expertise CMS Part B claims 3

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.

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.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services14 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

St Johns Medical Center

Acute Care Hospitals · Jackson, WY
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530015
Location625 East BroadwayJackson, WY 83001 · Teton County
Emergency services Birthing friendly

Star Valley Medical Center

Critical Access Hospitals · Afton, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531313
Location901 Adams StreetAfton, WY 83110 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83422 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers13 claims13 services$38.24 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier12 claims72 services$3.22 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier20 claims20 services$44.18 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
1 supplier16 claims17 services$91.96 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

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

Family Medicine
190 MUSTANG DRIVE
DRIGGS, ID 83422

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 Brent Blue's NPI number?

The NPI number for Brent Blue is 1063467538. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Brent Blue located?

Brent Blue practices at 190 Mustang Drive, Driggs, ID 83422. The listed phone number is (307) 733-7835.

What is Brent Blue's specialty?

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

Is Brent Blue enrolled in Medicare?

Yes. Brent Blue 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.

Is Brent Blue affiliated with any hospitals?

According to CMS data, Brent Blue is affiliated with St Johns Medical Center and Star Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Brent Blue was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.