SHAD T BATEMAN DO
NPI 1104478007
Family Medicine in Blackfoot, ID

Q: What is Shad Bateman's NPI number?

The NPI number for Shad Bateman is 1104478007. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Shad Bateman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shad Bateman was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment

98 POPLAR ST, BLACKFOOT, ID 83221(208) 782-2980(208) 785-3504 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2020, Jul 10, 2019 (2 updates tracked since 2019).

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About Shad T Bateman Do NPPES

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

SHAD T BATEMAN DO (NPI 1104478007) is an individual family medicine provider in Blackfoot, Idaho, licensed in Idaho (O-1720) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Bingham Memorial Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1104478007

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHAD T BATEMANCredential: DO

Location Address98 POPLAR STBlackfoot, ID 83221-1758

Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 782-2980 · Fax (208) 785-3504

Phone(208) 782-2980

Fax(208) 785-3504

Sole ProprietorYes

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2019

Enumeration DateJuly 10, 2019

Last NPPES UpdateApril 23, 20252 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1104478007 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 · O-1720

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.

98 POPLAR ST, Blackfoot, ID 83221

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.Insurance ›

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

Shad T Bateman Do 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 ID9335564657

PECOS Enrollment IDI20220919002023

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.

Hospital Affiliations CMS Care Compare

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

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131325

Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 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.

Other Providers at the Same Location NPPES 20

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

BEVERLY HANSON PA

Physician Assistant (Surgical)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 782-3993

DAN EARL ROBINSON D.P.M.

Podiatrist (Foot & Ankle Surgery)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 690-0394

AMANDA WRAY RPH

Pharmacist

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 782-2990

SAMANTHA HRABIK FNP-C

Nurse Practitioner (Family)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 251-2408

DR. JASON CHRISTOPHER BELL D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 785-5801

ABBY JAN WILSON FNP-BC, RD, CDCES

Nurse Practitioner (Family)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 785-4100

MS. SUZANNE GODFREY LCPC, NCC

Counselor

98 POPLAR ST, THIRD FLOOR
BLACKFOOT, ID 83221

Bingham County (208) 785-3800

SCOTT RYAN MANGUM PA-C

Physician Assistant (Medical)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 785-4100

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 Shad Bateman's NPI number?

The NPI number for Shad Bateman is 1104478007. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Shad Bateman located?

Shad Bateman practices at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 782-2980.

What is Shad Bateman's specialty?

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

Is Shad Bateman enrolled in Medicare?

Yes. Shad Bateman 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.

What insurance does Shad Bateman accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Shad Bateman 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 Shad Bateman affiliated with any hospitals?

According to CMS data, Shad Bateman is affiliated with Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shad Bateman was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.