MR. GREG C BOETTCHER DO
NPI 1508899295
Family Medicine in Gooding, ID

Q: What is Greg Boettcher's NPI number?

The NPI number for Greg Boettcher is 1508899295. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Q: What is Greg Boettcher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Greg Boettcher was last updated on July 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment

267 N CANYON DR, GOODING, ID 83330(208) 934-4446(208) 934-4442 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2018, Jun 27, 2018 (2 updates tracked since 2018).

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About Mr. Greg C Boettcher Do NPPES

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

MR. GREG C BOETTCHER DO (NPI 1508899295) is an individual family medicine provider in Gooding, Idaho, licensed in Idaho (0237) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Rupert.

NPPES Registry Identity

NPI1508899295

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. GREG C BOETTCHERCredential: DO

Location Address267 N CANYON DRGooding, ID 83330

Mailing Address267 N Canyon DrGooding, ID 83330-5500 · (208) 934-4446 · Fax (208) 934-4442

Phone(208) 934-4446

Fax(208) 934-4442

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2000

Enumeration DateJuly 8, 2006

Last NPPES UpdateJuly 10, 20182 updates tracked since enumeration

✔ NPI 1508899295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 0237

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

267 N CANYON DR, Gooding, ID 83330

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Secondary Practice Location 1

Location 11218 9th St Ste 7Rupert, ID 83350-2207 · Phone (208) 436-3161 · Fax (208) 463-3163

Other Identifiers 3

OtherS4117Blue Cross

Medicaid805804000ID

Other000010141448ID · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan, Select Health.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. Greg C Boettcher Do 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 ID5799817151

PECOS Enrollment IDI20100720000910

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 3

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130002

Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County

Emergency services Birthing friendly

North Canyon Medical Center

Critical Access Hospitals · Gooding, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131302

Location267 North Canyon DrGooding, ID 83330 · Gooding County

Minidoka Memorial Hospital

Critical Access Hospitals · Rupert, ID

OwnershipGovernment - Local

CMS Certification Number131319

Location1224 8th StreetRupert, ID 83350 · Minidoka County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83330 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers11 claims11 services$36.22 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers19 claims19 services$30.17 avg. paid by Medicare

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

1 supplier31 claims31 services$91.13 avg. paid by Medicare

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

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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.

JASON DAVIS PA

Physician Assistant