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ERIC A WINGERSON D.O.
NPI 1295738797
Internal Medicine - Gastroenterology in Idaho Falls, ID

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
1995 E 17TH ST, ST. #4, IDAHO FALLS, ID 83404(208) 524-3939(208) 524-3950 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2024, Aug 24, 2022 (2 updates tracked since 2022).

About Eric A Wingerson D.o. NPPES

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

ERIC A WINGERSON D.O. (NPI 1295738797) is an individual gastroenterology provider in Idaho Falls, Idaho, licensed in Idaho (0-122) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Wood River Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295738797
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameERIC A WINGERSONCredential: D.O.
Location Address1995 E 17TH ST, ST. #4Idaho Falls, ID 83404-6493
Mailing Address1995 E 17th St, St. #4Idaho Falls, ID 83404-6493 · (208) 524-3939 · Fax (208) 524-3950
Phone(208) 524-3939
Fax(208) 524-3950
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMay 27, 2005
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
✔ NPI 1295738797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in ID · 0-122✔ Licensed in MT · MEDPHYSCOMLIC114155
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1995 E 17TH ST, Idaho Falls, ID 83404
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1320 Sunnyview LnKalispell, MT 59901-3129 · Phone (406) 752-7441 · Fax (406) 257-0304
Location 2100 Hospital Dr., Ste 201Ketchum, ID 83340 · Phone (208) 727-8888 · Fax (208) 727-8889

Other Identifiers 2

Other710949800Commercial
Medicaid002708700ID

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.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

Eric A Wingerson 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 ID4789618679
PECOS Enrollment IDI20110209000455
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 8

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
76 services76 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
35 services35 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
32 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
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.
24 services19 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131323
Location100 Hospital DriveKetchum, ID 83340 · Blaine County
Emergency services Birthing friendly

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
$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.

Other Providers at the Same Location NPPES 13

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

DR. PETER JEFFREY THOMPSON M.D.
Family Medicine
1995 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5252
DR. ROCCO P CIFRESE MD
Family Medicine
1995 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 522-7666
COMMUNITY CARE PLLC
Family Medicine
1995 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5252
KIRSTEN A DAVIS LMP
Massage Therapist
1995 E 17TH ST, SUITE 2
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2352
NORTHSTAR HEALTHCARE LLC
Nurse Practitioner
1995 E 17TH ST, STE 2
IDAHO FALLS, ID 83404
Bonneville County (208) 529-2352
JASON T RINKER
Physician Assistant (Medical)
1995 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (208) 538-1999
EAGLE ROCK REGIONAL NEUROLOGY, P.C.
Psychiatry & Neurology (Neurology)
1995 E 17TH ST, STE 5
IDAHO FALLS, ID 83404
Bonneville County (208) 552-5700
ERIC A. WINGERSON, D.O. & DIGESTIVE HEALTH CENTER, PC
Internal Medicine (Gastroenterology)
1995 E 17TH ST, SUITE #4
IDAHO FALLS, ID 83404
Bonneville County (208) 524-3939

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 Eric Wingerson's NPI number?

The NPI number for Eric Wingerson is 1295738797. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Eric Wingerson located?

Eric Wingerson practices at 1995 E 17th St St. #4, Idaho Falls, ID 83404. The listed phone number is (208) 524-3939.

What is Eric Wingerson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Eric Wingerson enrolled in Medicare?

Yes. Eric Wingerson 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 Eric Wingerson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Eric Wingerson 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 Eric Wingerson affiliated with any hospitals?

According to CMS data, Eric Wingerson is affiliated with St Luke's Wood River Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Wingerson was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.