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DR. GARY MICHAEL ALTENBURG DDS
NPI 1356558852
Dentist - Endodontics in Eagle, ID

Active since May 16, 2007PECOS Enrolled
450 W STATE ST STE 115, EAGLE, ID 83616(208) 286-4200(208) 286-4201 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2022, Oct 11, 2016 (2 updates tracked since 2016).

About Dr. Gary Michael Altenburg Dds NPPES

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

DR. GARY MICHAEL ALTENBURG DDS (NPI 1356558852) is an individual endodontics provider in Eagle, Idaho, licensed in Idaho (D-5078-EN) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356558852
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. GARY MICHAEL ALTENBURGCredential: DDS
Location Address450 W STATE ST STE 115Eagle, ID 83616-7055
Mailing Address4940 N Soaring LnEagle, ID 83616-1937 · (760) 975-1657
Phone(208) 286-4200
Fax(208) 286-4201
Sole ProprietorYes
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1356558852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in ID · D-5078-EN✔ Licensed in CA · 46454
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

450 W STATE ST STE 115, Eagle, ID 83616
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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. Gary Michael Altenburg Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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

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

DR. SAMUEL PETERSEN DMD
Dentist (General Practice)
450 W STATE ST STE 115
EAGLE, ID 83616
Ada County (208) 370-5203

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 Gary Altenburg's NPI number?

The NPI number for Gary Altenburg is 1356558852. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Gary Altenburg located?

Gary Altenburg practices at 450 W State St Ste 115, Eagle, ID 83616. The listed phone number is (208) 286-4200.

What is Gary Altenburg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Gary Altenburg enrolled in Medicare?

Yes. Gary Altenburg is registered in the Medicare PECOS enrollment system.

What insurance does Gary Altenburg accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Gary Altenburg 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 Gary Altenburg was last updated on July 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.