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DR. JAMES WILLIAM PICKETT D.O.
NPI 1275735045
Family Medicine in Malad City, ID

Active since June 04, 2007PECOS Enrolled
220 BANNOCK ST, MALAD CITY, ID 83252(208) 766-2600(208) 766-4258 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2025, Nov 16, 2021 (2 updates tracked since 2021).

About Dr. James William Pickett D.o. NPPES

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

DR. JAMES WILLIAM PICKETT D.O. (NPI 1275735045) is an individual family medicine provider in Malad City, Idaho, licensed in Idaho (O-0838) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1275735045
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES WILLIAM PICKETTCredential: D.O.
Location Address220 BANNOCK STMalad City, ID 83252-5068
Mailing Address220 Bannock StMalad City, ID 83252-5068 · (208) 766-2600 · Fax (208) 766-4258
Phone(208) 766-2600
Fax(208) 766-4258
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 4, 2007
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1275735045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · O-0838✔ Licensed in AZ · 5012
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.
Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License O-0838 (ID)
220 BANNOCK ST, Malad City, ID 83252
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan 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 (PECOS)

Dr. James William Pickett D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426109240
PECOS Enrollment IDI20150213001352
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 James Pickett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oneida County Hospital
Same address
Rural Health
220 BANNOCK ST
Malad City, ID 83252
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1609826270 (Idaho)
  • 11 clinicians in this Medicare group
NPI 1225276454 (208) 766-2600

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 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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
96 services67 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services22 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
37 services37 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
21 services21 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
13 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Nell J Redfield Memorial Hospital

Critical Access Hospitals · Malad, ID
OwnershipGovernment - Local
CMS Certification Number131303
Location150 North 200 WestMalad, ID 83252 · Oneida County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83252 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 19

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
3 suppliers25 claims63 services$5.46 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers35 claims35 services$44.83 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers45 claims45 services$112.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers44 claims121 services$41.41 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
3 suppliers15 claims15 services$64.77 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers38 claims38 services$25.07 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 15

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

RICK C. CLARK JR. PA
Physician Assistant
220 BANNOCK ST, SUITE 306
MALAD CITY, ID 83252
Oneida County (208) 766-2600
MEL BINGHAM PA-C
Physician Assistant
220 BANNOCK ST
MALAD CITY, ID 83252
Oneida County (208) 766-2600
JENNIFER FELTER NP
Nurse Practitioner
220 BANNOCK ST
MALAD CITY, ID 83252
Oneida County (208) 766-2231
ONEIDA COUNTY HOSPITAL
Clinic/Center (Rural Health)
220 BANNOCK ST
MALAD CITY, ID 83252
Oneida County (208) 766-2600
DR. LAYNE S BARNES DO
Family Medicine
220 BANNOCK ST
MALAD CITY, ID 83252
Oneida County (208) 766-2231
ROBERT DAVID HODSON D.O.
Family Medicine
220 BANNOCK ST
MALAD CITY, ID 83252
Oneida County (208) 766-2600
MRS. MISTY M MARTINSEN FNP, MSN
Nurse Practitioner
220 BANNOCK ST
MALAD CITY, ID 83252
Oneida County (208) 766-2600
ARIEL SHANTAY AVIS TAYSOM PA-C
Physician Assistant
220 BANNOCK ST
MALAD CITY, ID 83252
Oneida County (208) 766-2600

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 James Pickett's NPI number?

The NPI number for James Pickett is 1275735045. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is James Pickett located?

James Pickett practices at 220 Bannock St, Malad City, ID 83252. The listed phone number is (208) 766-2600.

What is James Pickett's specialty?

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

Is James Pickett enrolled in Medicare?

Yes. James Pickett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Pickett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Pickett reassigns Medicare benefits to Oneida County Hospital (Malad City, 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 James Pickett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Pickett accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list James Pickett 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 James Pickett affiliated with any hospitals?

According to CMS data, James Pickett is affiliated with Portneuf Medical Center and Nell J Redfield Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Pickett was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.