DR. DONALD J GREGGAIN M.D.
NPI 1154328052
Family Medicine in Lewiston, ID

Q: What is Donald Greggain's NPI number?

The NPI number for Donald Greggain is 1154328052. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Donald Greggain'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 Donald Greggain was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 07, 2005PECOS EnrolledAccepts Medicare Assignment

415 6TH ST STE 3C, LEWISTON, ID 83501(208) 750-3840(208) 750-3839 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 26, 2024, Jul 30, 2024, Dec 11, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Donald J Greggain M.d. NPPES

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

DR. DONALD J GREGGAIN M.D. (NPI 1154328052) is an individual family medicine provider in Lewiston, Idaho, licensed in Idaho (M-6680) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154328052

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DONALD J GREGGAINCredential: M.D.

Location Address415 6TH ST STE 3CLewiston, ID 83501-2431

Mailing Address415 6th Street, Attn: Physician ServicesLewiston, ID 83501-2434 · (208) 750-7462 · Fax (208) 750-7467

Phone(208) 750-3840

Fax(208) 750-3839

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateJuly 7, 2005

Last NPPES UpdateDecember 26, 20244 updates tracked since enumeration

NPPES CertifiedDecember 26, 2024

✔ NPI 1154328052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · M-6680✔ Licensed in WA · 32331

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.

415 6TH ST STE 3C, Lewiston, ID 83501

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Secondary Practice Locations 2

Location 11267 Belmont WayClarkston, WA 99403-2844 · Phone (509) 751-1500 · Fax (509) 751-1504

Location 2222 Southway Ave Ste 2ALewiston, ID 83501 · Phone (208) 750-3840 · Fax (208) 750-3839

Other Identifiers 10

Other000010001249ID · Regence Blue Shield Prov

Other080075556Railroad Medicare Prov#

Medicaid1003592WA

Other1139282ID · Idaho Medicare Prov #

Other193254001Owcp Prov #

Other1095264WA · Wash Medicaid Prov #

Other71993 8J935ID · Blue Cross Idaho Prov#

Other104012WA · Dl&i Prov Number

Medicaid1154328052ID

Medicaid003310000ID

Accepted Insurance

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

Dr. Donald J Greggain M.d. 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 ID8820074669

PECOS Enrollment IDI20110607000534

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 Reassignment

Medicare enrollment records show Donald Greggain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Joseph Hospital LLC

Same address

Internal Medicine

415 6TH STREET, PHYSICIAN SERVICES
Lewiston, ID 83501

Reassigned Medicare billing, Idaho and Washington enrollments
Also billed through NPI 1043744287 (Washington)
164 clinicians in this Medicare group

NPI 1205368404 (208) 750-7462

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 7

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 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.

279 services159 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.

231 services125 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.

145 services145 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

144 services112 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

128 services128 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

122 services99 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130003

Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County

Emergency services Birthing friendly

Tri-State Memorial Hospital

Critical Access Hospitals · Clarkston, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number501332

Location1221 Highland AvenueClarkston, WA 99403 · Asotin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83501 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 22

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

7 suppliers68 claims209 services$5.54 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers28 claims34 services$0.88 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers16 claims16 services$36.26 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers11 claims23 services$1.26 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers22 claims22 services$78.13 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers28 claims66 services$32.80 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers14 claims14 services$51.79 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers26 claims26 services$17.90 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers16 claims16 services$17.39 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers32 claims164 services$2.16 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers14 claims14 services$11.06 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 suppliers65 claims66 services$16.68 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$779.43 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier12 claims12 services$93.06 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers12 claims17 services$5.38 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers54 claims54 services$38.27 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 suppliers101 claims102 services$86.90 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers30 claims30 services$31.13 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers24 claims2,790 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers24 claims1,440 services$0.80 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

8 suppliers82 claims82 services$188.25 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers28 claims28 services$26.08 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 5

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

JENNA DARNELL

Nurse Practitioner (Family)

415 6TH ST STE 3C
LEWISTON, ID 83501

Nez Perce County (208) 750-3840

BELINDA ROBERTS NP

Nurse Practitioner (Family)

415 6TH ST STE 3C
LEWISTON, ID 83501

Nez Perce County (208) 746-1333

DR. JOHN BRADLEY RUDOLPH D.O.

Family Medicine

415 6TH ST STE 3C
LEWISTON, ID 83501

Nez Perce County (208) 750-7300

DR. BARBARA KAY DAVIS MD

Internal Medicine

415 6TH ST STE 3C
LEWISTON, ID 83501

Nez Perce County (208) 746-1333

KAYLA MILLER

Nurse Practitioner (Family)

415 6TH ST STE 3C
LEWISTON, ID 83501

Nez Perce County (208) 750-7300

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 Donald Greggain's NPI number?

The NPI number for Donald Greggain is 1154328052. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Donald Greggain located?

Donald Greggain practices at 415 6th St Ste 3C, Lewiston, ID 83501. The listed phone number is (208) 750-3840.

What is Donald Greggain's specialty?

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

Is Donald Greggain enrolled in Medicare?

Yes. Donald Greggain 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 organization bills Medicare for Donald Greggain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Greggain reassigns Medicare benefits to St Joseph Hospital LLC (Lewiston, ID). The 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 Donald Greggain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Greggain accept?

Health plans from Molina Healthcare, PacificSource Health Plans and Providence Health Plan list Donald Greggain 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 Donald Greggain affiliated with any hospitals?

According to CMS data, Donald Greggain is affiliated with St Joseph Regional Medical Center and Tri-State Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Greggain was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.