MR. GREG C BOETTCHER DO
NPI 1508899295
Family Medicine in Gooding, ID
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Greg Boettcher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gooding, ID 83330
- Reassigned Medicare billing, Idaho enrollment
- 180 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, IDNorth Canyon Medical Center
Critical Access Hospitals · Gooding, IDMinidoka Memorial Hospital
Critical Access Hospitals · Rupert, IDPhysician 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.
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.
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.
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 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.
Where is Greg Boettcher located?
Greg Boettcher practices at 267 N Canyon Dr, Gooding, ID 83330. The listed phone number is (208) 934-4446.
What is Greg Boettcher's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Greg Boettcher enrolled in Medicare?
Yes. Greg Boettcher 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.
Which organization bills Medicare for Greg Boettcher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Greg Boettcher reassigns Medicare benefits to North Canyon Medical Center, Inc. (Gooding, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Greg Boettcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Greg Boettcher accept?
Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Greg Boettcher 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 Greg Boettcher affiliated with any hospitals?
According to CMS data, Greg Boettcher is affiliated with St Lukes Magic Valley Medical Center, North Canyon Medical Center and Minidoka Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Greg Boettcher was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Greg C Boettcher, DO · NPI 1508899295
Family Medicine physician in Gooding, Idaho. Individual provider, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1508899295 (Entity type: Individual)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0237 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 267 N CANYON DR, Gooding, ID 83330
- **Phone:** (208) 934-4446 · **Fax:** (208) 934-4442
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Canyon Medical Center, Inc. (NPI 1275703241, Gooding, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2000
## Record status
- **NPPES last updated:** July 10, 2018
- **Other identifiers:** Other S4117; Medicaid 805804000 (ID); Other 000010141448 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1508899295) · Data from the CMS NPPES public registry.