PHILIP JON VAN DE GRIEND MD
NPI 1275829376
Family Medicine in Pocatello, ID

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
465 MEMORIAL DR, POCATELLO, ID 83201(208) 232-7862 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip Jon Van De Griend Md NPPES

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

PHILIP JON VAN DE GRIEND MD (NPI 1275829376) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (M-15982) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and maintains a secondary practice location in Orange City.

NPPES Registry Identity

NPI1275829376
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePHILIP JON VAN DE GRIENDCredential: MD
Location Address465 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address465 Memorial DrPocatello, ID 83201-4008 · (208) 234-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 27, 2011
Last NPPES UpdateSeptember 30, 2021
NPPES CertifiedSeptember 30, 2021
NPI 1275829376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ID · M-15982 Licensed in IA · MD-42445 Licensed in SC · LL33736 Licensed in NC · 2014-01351
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.
465 MEMORIAL DR, Pocatello, ID 83201

Secondary Practice Location 1

Location 11000 Lincoln Cir SEOrange City, IA 51041-1836 · Phone (712) 737-2000

Other Identifiers 2

MedicaidNC2135SC
Medicaid1275829376NC

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 and accepts Medicare assignment

Philip Jon Van De Griend 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 ID1658593827
PECOS Enrollment IDI20211004000969
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.

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

Physician 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.

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.

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.

Pharmacist (Pharmacotherapy)
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist (General Practice)
465 MEMORIAL DR
POCATELLO, ID 83201
Dentist
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201
Family Medicine
465 MEMORIAL DR
POCATELLO, ID 83201

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 Philip Van De Griend's NPI number?

The NPI number for Philip Van De Griend is 1275829376. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Philip Van De Griend located?

Philip Van De Griend practices at 465 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 232-7862.

What is Philip Van De Griend's specialty?

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

Is Philip Van De Griend enrolled in Medicare?

Yes. Philip Van De Griend 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 Philip Van De Griend accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Philip Van De Griend 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 Philip Van De Griend affiliated with any hospitals?

According to CMS data, Philip Van De Griend is affiliated with Portneuf Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Van De Griend was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.