MR. RICKY DWAYNE LATHAM MD
NPI 1477553139
Internal Medicine - Cardiovascular Disease in Idaho Falls, ID

Q: What is Ricky Latham's NPI number?

The NPI number for Ricky Latham is 1477553139. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Ricky Latham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Ricky Latham was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 26, 2005PECOS EnrolledAccepts Medicare Assignment

2001 VALENICA DRIVE, SUITE 201, IDAHO FALLS, ID 83404(208) 524-9400(208) 524-9401 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2019, Dec 28, 2015 (2 updates tracked since 2015).

On this page

About Mr. Ricky Dwayne Latham Md NPPES

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

MR. RICKY DWAYNE LATHAM MD (NPI 1477553139) is an individual cardiovascular disease provider in Idaho Falls, Idaho, licensed in Oregon (MD170342) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1979).

NPPES Registry Identity

NPI1477553139

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMR. RICKY DWAYNE LATHAMCredential: MD

Location Address2001 VALENICA DRIVE, SUITE 201Idaho Falls, ID 83404

Mailing Address1775 Thompson RdCoos Bay, OR 97420-2125 · (541) 266-4650 · Fax (541) 266-4659

Phone(208) 524-9400

Fax(208) 524-9401

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1979

Enumeration DateJuly 26, 2005

Last NPPES UpdateFebruary 13, 20192 updates tracked since enumeration

✔ NPI 1477553139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in OR · MD170342✔ Licensed in ID · M6887

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2001 VALENICA DRIVE, Idaho Falls, ID 83404

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Other Identifiers 14

Medicaid000353200ID

Medicaid500680039OR

Other000010005099Blue Shield Of Id S, Bs2

Other060053550Railroad Medicare, Rrm

Other8318842Medicaid Of Wa, Md-w

Other1134041Medicare-cigna, Mc

OtherDZ692Blue Cross Of Id Se, Bc2

Other0031512Montana Medicaid, Mem

OtherM6887ID · Id

Other000010005099Blue Shield Of Id, Bs

Other111489100Wy/eds Consultec, Inc Wym

OtherDZ692Blue Cross Of Idaho, Bc

Other000353200Eds- Medicaid, Eds

Other111489100Medicaid Wyoming, Mwy

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

Mr. Ricky Dwayne Latham 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 ID446249387

PECOS Enrollment IDI20180516002238

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 19

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

580 services478 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.

343 services208 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

261 services258 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

162 services158 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

137 services123 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

136 services136 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

81 services80 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

42 services42 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

25 services25 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

24 services23 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

19 services19 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

18 services16 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

18 services16 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

16 services16 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

14 services14 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.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services13 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

12 services12 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

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

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

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131325

Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County

Emergency services

Star Valley Medical Center

Critical Access Hospitals · Afton, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531313

Location901 Adams StreetAfton, WY 83110 · Lincoln County

Emergency services

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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers25 claims25 services$101.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ricky Latham's NPI number?

The NPI number for Ricky Latham is 1477553139. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Ricky Latham located?

Ricky Latham practices at 2001 Valenica Drive Suite 201, Idaho Falls, ID 83404. The listed phone number is (208) 524-9400.

What is Ricky Latham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ricky Latham enrolled in Medicare?

Yes. Ricky Latham 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 Ricky Latham accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Ricky Latham 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 Ricky Latham affiliated with any hospitals?

According to CMS data, Ricky Latham is affiliated with Eastern Idaho Regional Medical Center, Portneuf Medical Center, Mountain View Hospital, Bingham Memorial Hospital and Star Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Ricky Latham was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.