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GERARDO MIDENCE MD
NPI 1215981832
Internal Medicine - Medical Oncology in Lewiston, ID

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
1250 IDAHO STREET, LEWISTON, ID 83501(208) 743-7427(208) 743-7121 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gerardo Midence Md NPPES

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

GERARDO MIDENCE MD (NPI 1215981832) is an individual medical oncology provider in Lewiston, Idaho, licensed in Idaho (M-8750) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1215981832
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameGERARDO MIDENCECredential: MD
Location Address1250 IDAHO STREETLewiston, ID 83501
Mailing AddressPo Box 816Lewiston, ID 83501-0816 · (208) 743-2511 · Fax (208) 799-5528
Phone(208) 743-7427
Fax(208) 743-7121
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 19, 2006
Last NPPES UpdateMay 16, 2014
✔ NPI 1215981832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in ID · M-8750✔ Licensed in WA · MD00042019
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1250 IDAHO STREET, Lewiston, ID 83501
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Other Identifiers 1

Medicare UPINE36373ID

Accepted Insurance

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

Gerardo Midence 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 ID1951304187
PECOS Enrollment IDI20060816000265
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 4

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 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.
358 services205 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.
235 services120 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
81 services81 patients
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.
26 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Syringa General Hospital

Critical Access Hospitals · Grangeville, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131315
Location607 W Main StreetGrangeville, ID 83530 · Idaho County
Emergency services

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131320
Location301 Cedar StreetOrofino, ID 83544 · Clearwater County
Emergency services

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131321
Location701 Lewiston StCottonwood, ID 83522 · Idaho County
Emergency services

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
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.

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
2 suppliers15 claims1,768 services$0.58 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers16 claims16 services$18.92 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 2

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

SUSHMA PANT MD
Internal Medicine (Medical Oncology)
1250 IDAHO STREET
LEWISTON, ID 83501
Nez Perce County (208) 743-7427
KATRINA A ROLEN MD
Internal Medicine (Medical Oncology)
1250 IDAHO STREET
LEWISTON, ID 83501
Nez Perce County (208) 743-7427

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 Gerardo Midence's NPI number?

The NPI number for Gerardo Midence is 1215981832. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Gerardo Midence located?

Gerardo Midence practices at 1250 Idaho Street, Lewiston, ID 83501. The listed phone number is (208) 743-7427.

What is Gerardo Midence's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Gerardo Midence enrolled in Medicare?

Yes. Gerardo Midence 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 Gerardo Midence accept?

Health plans from PacificSource Health Plans list Gerardo Midence 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 Gerardo Midence affiliated with any hospitals?

According to CMS data, Gerardo Midence is affiliated with St Joseph Regional Medical Center, Syringa General Hospital, Clearwater Valley Hospital & Clinics, St Marys Hospital And Clinics and Gritman Medical Center.

When was this NPI record last updated?

The NPPES record for Gerardo Midence was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.