JOHN G BRANDECKER MD
NPI 1427099571
Emergency Medicine in Boise, ID

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John G Brandecker Md NPPES

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

JOHN G BRANDECKER MD (NPI 1427099571) is an individual emergency medicine provider in Boise, Idaho, licensed in Idaho (M8197) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Georgetown University School Of Medicine (1988).

NPPES Registry Identity

NPI1427099571
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN G BRANDECKERCredential: MD
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1988
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 28, 2010
NPI 1427099571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in ID · M8197
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

190 E BANNOCK ST, Boise, ID 83712

Other Identifiers 1

Medicare UPINF34419

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

John G Brandecker 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 ID9638137391
PECOS Enrollment IDI20100730000531
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 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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.

Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712

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 John Brandecker's NPI number?

The NPI number for John Brandecker is 1427099571. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is John Brandecker located?

John Brandecker practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2222.

What is John Brandecker's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Brandecker enrolled in Medicare?

Yes. John Brandecker 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.

Is John Brandecker affiliated with any hospitals?

According to CMS data, John Brandecker is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for John Brandecker was last updated on July 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.