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DR. GENE K. HODGES M.D.
NPI 1316055320
Family Medicine - Adult Medicine in Idaho Falls, ID

Active since August 29, 2006PECOS EnrolledCLIA 13D1041378 · Waiver
2065 E 17TH ST, SUITE A, IDAHO FALLS, ID 83404(208) 522-3301(208) 522-3414 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 22, 2026, Apr 17, 2026, Mar 13, 2026 and 2 more (5 updates tracked since 2016).

About Dr. Gene K. Hodges M.d. NPPES

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

DR. GENE K. HODGES M.D. (NPI 1316055320) is an individual adult medicine provider in Idaho Falls, Idaho, licensed in Idaho (M4937) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 17, 2028, and is affiliated with Eastern Idaho Regional Medical Center.

NPPES Registry Identity

NPI1316055320
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. GENE K. HODGESCredential: M.D.
Location Address2065 E 17TH ST, SUITE AIdaho Falls, ID 83404-8042
Mailing Address2065 E 17th St Ste AIdaho Falls, ID 83404-8042 · (208) 522-3301 · Fax (208) 522-3414
Phone(208) 522-3301
Fax(208) 522-3414
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1977
Enumeration DateAugust 29, 2006
Last NPPES UpdateApril 22, 20265 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1316055320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in ID · M4937
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily MedicineTaxonomy 207Q00000X · License M4937 (ID)
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License M4937 (ID)
2065 E 17TH ST, Idaho Falls, ID 83404
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Other Identifiers 2

Medicaid000316100ID
Other1117710ID · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Select Health 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. Gene K. Hodges M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648360727
PECOS Enrollment IDI20071212000722
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 Gene Hodges reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Council Of Idaho, Inc
0.1 mi
Federally Qualified Health Center (FQHC)
2100 ALAN ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 15 clinicians in this Medicare group
NPI 1710925250 (208) 528-7655

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D1041378

Gene K Hodges MD · Idaho Falls, ID
Active · expires Apr 17, 2028
CLIA Number13D1041378
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorGene K. Hodges
Laboratory Phone(208) 522-3301
Laboratory LocationGene K Hodges MD2065 E 17th St Suite A, Idaho Falls, ID 83404
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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 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.
448 services147 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.
420 services156 patients
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.
219 services132 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
157 services52 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.
127 services127 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.
125 services125 patients

Hospital Affiliations CMS Care Compare 2

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
74%35 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
35%20 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%41 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,412 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
29%35 patients2/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%41 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
0%983 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
42%983 patients3/55-star benchmark: 77%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 18

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
7 suppliers23 claims55 services$6.22 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$35.57 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers13 claims35 services$27.75 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
4 suppliers14 claims14 services$60.45 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers13 claims74 services$2.19 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers19 claims19 services$52.91 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 16

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

MRS. MOLLY SUSAN PHILLIPP C.R.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
OBSTETRICS AND GYNECOLOGY ASSOCIATES OF IDAHO FALLS
Obstetrics & Gynecology
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
IVY A. HANSEN P.A.-C.
Physician Assistant (Medical)
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
ALPINE EAR, NOSE & THROAT, P.C
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2065 E 17TH ST, SUITE B
IDAHO FALLS, ID 83404
Bonneville County (208) 524-7244
GENE K. HODGES M.D.
Family Medicine
2065 E 17TH ST, SUITE A
IDAHO FALLS, ID 83404
Bonneville County (208) 522-3301
MRS. REBECCA A. WESTERGARD P.A.
Physician Assistant (Medical)
2065 E 17TH ST, SUITE D
IDAHO FALLS, ID 83404
Bonneville County (208) 522-0747
DANIEL K HINCKLEY MD PA
Specialist
2065 E 17TH ST, ST A
IDAHO FALLS, ID 83404
Bonneville County (208) 522-1764
ALISHA SCOTT PA-C
Physician Assistant
2065 E 17TH ST
IDAHO FALLS, ID 83404
Bonneville County (800) 640-3451

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 Gene Hodges's NPI number?

The NPI number for Gene Hodges is 1316055320. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Gene Hodges located?

Gene Hodges practices at 2065 E 17th St Suite A, Idaho Falls, ID 83404. The listed phone number is (208) 522-3301.

What is Gene Hodges's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Gene Hodges enrolled in Medicare?

Yes. Gene Hodges is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gene Hodges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gene Hodges reassigns Medicare benefits to Community Council Of Idaho, Inc (Idaho Falls, 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 Gene Hodges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Gene Hodges hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1041378) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gene Hodges accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Gene Hodges 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 Gene Hodges affiliated with any hospitals?

According to CMS data, Gene Hodges is affiliated with Eastern Idaho Regional Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Gene Hodges was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.