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DR. GARY MICHAEL ULLERY D.O.
NPI 1164785382
Internal Medicine in Blackfoot, ID

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
98 POPLAR ST FL 2, BLACKFOOT, ID 83221(208) 782-2380(208) 785-3504 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Gary Michael Ullery D.o. NPPES

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

DR. GARY MICHAEL ULLERY D.O. (NPI 1164785382) is an individual internal medicine provider in Blackfoot, Idaho, licensed in Idaho (O-0906) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Bingham Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164785382
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GARY MICHAEL ULLERYCredential: D.O.
Location Address98 POPLAR ST FL 2Blackfoot, ID 83221-1758
Mailing Address98 Poplar St Fl 2Blackfoot, ID 83221-1758 · (208) 782-2380 · Fax (208) 785-3504
Phone(208) 782-2380
Fax(208) 785-3504
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 21, 2012
Last NPPES UpdateJanuary 3, 2020
✔ NPI 1164785382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · O-0906
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License O-0906 (ID)
98 POPLAR ST FL 2, 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., Molina Healthcare, PacificSource Health Plans and more.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. Gary Michael Ullery D.o. 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 ID7911139977
PECOS Enrollment IDI20160803000880
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 Gary Ullery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bmh Inc
Same address
Surgery
98 POPLAR ST
Blackfoot, ID 83221
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1982805271 (Idaho)
  • 159 clinicians in this Medicare group
NPI 1164611430 (208) 785-4100

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.

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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$18.49 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
3 suppliers52 claims52 services$103.40 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.

AMIE HEATHERTON
Health Educator
98 POPLAR ST FL 2
BLACKFOOT, ID 83221
Bingham County (208) 782-2450

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 Gary Ullery's NPI number?

The NPI number for Gary Ullery is 1164785382. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Gary Ullery located?

Gary Ullery practices at 98 Poplar St Fl 2, Blackfoot, ID 83221. The listed phone number is (208) 782-2380.

What is Gary Ullery's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gary Ullery enrolled in Medicare?

Yes. Gary Ullery 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 Gary Ullery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Ullery reassigns Medicare benefits to Bmh Inc (Blackfoot, 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 Gary Ullery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Ullery accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Gary Ullery 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 Gary Ullery affiliated with any hospitals?

According to CMS data, Gary Ullery is affiliated with Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gary Ullery was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.