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DR. BRANDON D WILDE D.P.M.
NPI 1407169865
Podiatrist - Foot & Ankle Surgery in Pocatello, ID

Active since July 14, 2010PECOS EnrolledAccepts Medicare Assignment
1455 BENCH RD STE B, POCATELLO, ID 83201(208) 232-0006(208) 233-8771 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2026, Nov 14, 2017 (2 updates tracked since 2017).

About Dr. Brandon D Wilde D.p.m. NPPES

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

DR. BRANDON D WILDE D.P.M. (NPI 1407169865) is an individual foot & ankle surgery provider in Pocatello, Idaho, licensed in Idaho (P-217) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and maintains a secondary practice location in Preston.

NPPES Registry Identity

NPI1407169865
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. BRANDON D WILDECredential: D.P.M.
Location Address1455 BENCH RD STE BPocatello, ID 83201-5084
Mailing Address1455 Bench Rd, Suite BPocatello, ID 83201-5083 · (208) 232-0006 · Fax (208) 233-8771
Phone(208) 232-0006
Fax(208) 233-8771
Sole ProprietorYes
Medical School CMSCollege Of Podiatric Med And Surgery, Des Moines UniversityGraduated 2009
Enumeration DateJuly 14, 2010
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1407169865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in ID · P-217
1455 BENCH RD STE B, Pocatello, ID 83201
Open in Google Maps ↗

Secondary Practice Location 1

Location 110 S 1st W Ste BPreston, ID 83263-1244 · Phone (208) 232-0006 · Fax (208) 233-8771

Other Identifiers 2

Medicaid1407169865MO
OtherP01271994MO · Railroad Medicare

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brandon D Wilde D.p.m. 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 ID1456508746
PECOS Enrollment IDI20120821000635
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 10

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 fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
77 services40 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
68 services41 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
65 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
63 services38 patients
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.
47 services37 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
25 services15 patients

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

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

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.
100%96 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
75%386 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
49%386 patients2/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 2

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

DEREK CURT KNAPP DPM
Podiatrist
1455 BENCH RD STE B
POCATELLO, ID 83201
Bannock County (208) 705-2073
VALLEY FOOT & ANKLE, PC
Podiatrist
1455 BENCH RD STE B
POCATELLO, ID 83201
Bannock County (208) 232-0006

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 Brandon Wilde's NPI number?

The NPI number for Brandon Wilde is 1407169865. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Brandon Wilde located?

Brandon Wilde practices at 1455 Bench Rd Ste B, Pocatello, ID 83201. The listed phone number is (208) 232-0006.

What is Brandon Wilde's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Brandon Wilde enrolled in Medicare?

Yes. Brandon Wilde 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 Brandon Wilde accept?

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

According to CMS data, Brandon Wilde is affiliated with Portneuf Medical Center.

When was this NPI record last updated?

The NPPES record for Brandon Wilde was last updated on March 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.