EVAN TAYLER DO
NPI 1164262572
Family Medicine in Pocatello, ID
About Evan Tayler Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN TAYLER DO (NPI 1164262572) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (MRO-2430) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evan Tayler Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Evan Tayler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Malad, ID 83252
- Reassigned Medicare billing, Idaho enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Portneuf Medical Center
Acute Care Hospitals · Pocatello, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Evan Tayler's NPI number?
The NPI number for Evan Tayler is 1164262572. It was assigned to this individual provider in the NPPES registry on May 31, 2024.
Where is Evan Tayler located?
Evan Tayler practices at 465 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 232-7862.
What is Evan Tayler's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Evan Tayler enrolled in Medicare?
Yes. Evan Tayler is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Evan Tayler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Tayler reassigns Medicare benefits to Oneida County Hospital (Malad, 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 Evan Tayler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Evan Tayler affiliated with any hospitals?
According to CMS data, Evan Tayler is affiliated with Portneuf Medical Center.
When was this NPI record last updated?
The NPPES record for Evan Tayler was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Evan Tayler, DO · NPI 1164262572
Family Medicine physician in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since May 31, 2024.
## Identity
- **NPI:** 1164262572 (Entity type: Individual)
- **Enumerated:** May 31, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MRO-2430 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 465 MEMORIAL DR, Pocatello, ID 83201-4008
- **Phone:** (208) 232-7862
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Oneida County Hospital (NPI 1609826270, Malad, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific Nw Un Of Hs, Col Of Osteopathic Medicine, class of 2024
## Record status
- **NPPES last updated:** May 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164262572) · Data from the CMS NPPES public registry.