DR. GREGORY DANIEL KOSTUR M.D.
NPI 1447316799
Pediatrics in Pocatello, ID

Q: What is Gregory Kostur's NPI number?

The NPI number for Gregory Kostur is 1447316799. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Gregory Kostur's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Kostur was last updated on January 6, 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.

Active since December 29, 2006PECOS Enrolled

500 S 11TH AVE STE 204, POCATELLO, ID 83201(208) 232-3355(855) 230-7350 Get Directions Write a Review

NPPES record last updated: January 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2024, Apr 2, 2020, Oct 1, 2019 and 1 more (4 updates tracked since 2017).

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About Dr. Gregory Daniel Kostur M.d. NPPES

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

DR. GREGORY DANIEL KOSTUR M.D. (NPI 1447316799) is an individual pediatrics provider in Pocatello, Idaho, licensed in Idaho (M-14706) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447316799

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. GREGORY DANIEL KOSTURCredential: M.D.

Location Address500 S 11TH AVE STE 204Pocatello, ID 83201-4878

Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880 · (208) 232-7862 · Fax (208) 232-2408

Phone(208) 232-3355

Fax(855) 230-7350

Sole ProprietorNo

Enumeration DateDecember 29, 2006

Last NPPES UpdateJanuary 6, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2024

✔ NPI 1447316799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in ID · M-14706✔ Licensed in TX · N3122

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

500 S 11TH AVE STE 204, Pocatello, ID 83201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health, University of Utah Health Plans.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. Gregory Daniel Kostur M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Gregory Kostur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health West, Inc.

Same address

Federally Qualified Health Center (FQHC)

500 S 11TH AVE STE 204
Pocatello, ID 83201

Reassigned Medicare billing, Idaho enrollment
63 clinicians in this Medicare group

NPI 1942772223 (208) 232-7862

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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

Closing the Referral Loop: Receipt of Specialist Report

87%241 patients5/55-star benchmark: 87%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

66%93 patients3/55-star benchmark: 97%

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 11

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

CHRISTINE E BLACK MD

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