DR. TROY R BRUMFIELD D.O.
NPI 1265541494
Family Medicine in Idaho Falls, ID

Active since August 30, 2006PECOS Enrolled
2725 CHANNING WAY, IDAHO FALLS, ID 83404(208) 525-8448(208) 525-8118 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Troy R Brumfield D.o. NPPES

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

DR. TROY R BRUMFIELD D.O. (NPI 1265541494) is an individual family medicine provider in Idaho Falls, Idaho, licensed in Idaho (O-268) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265541494
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TROY R BRUMFIELDCredential: D.O.
Location Address2725 CHANNING WAYIdaho Falls, ID 83404-7510
Mailing Address2725 Channing WayIdaho Falls, ID 83404-7510 · (208) 525-8448 · Fax (208) 525-8118
Fax(208) 525-8118
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 7, 2009
NPI 1265541494 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-268
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.
2725 CHANNING WAY, Idaho Falls, ID 83404

Other Identifiers 1

Medicare UPINH18681ID

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Troy R Brumfield D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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.
346 services177 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.
99 services62 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.
79 services79 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
53 services17 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.
51 services51 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
25 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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 10

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
5 suppliers17 claims39 services$6.43 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier11 claims22 services$1.59 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
3 suppliers37 claims38 services$17.02 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$5.86 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
5 suppliers108 claims111 services$85.72 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$33.28 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 8

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

Nurse Practitioner (Family)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Family Medicine
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Physician Assistant
2725 CHANNING WAY
IDAHO FALLS, ID 83404
Clinic/Center
2725 CHANNING WAY
IDAHO FALLS, ID 83404

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 Troy Brumfield's NPI number?

The NPI number for Troy Brumfield is 1265541494. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Troy Brumfield located?

Troy Brumfield practices at 2725 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 525-8448.

What is Troy Brumfield's specialty?

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

Is Troy Brumfield enrolled in Medicare?

Yes. Troy Brumfield is registered in the Medicare PECOS enrollment system.

What insurance does Troy Brumfield accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Troy Brumfield 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.

When was this NPI record last updated?

The NPPES record for Troy Brumfield was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.