1. Home
  2. Directory
  3. Idaho
  4. Wilder
  5. Physician Assistant
  6. NPI Profile

GORDON BRADLEY GREAVES PA
NPI 1699708131
Physician Assistant in Wilder, ID

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
15821 ALLENDALE RD, WILDER, ID 83676(208) 278-2863(208) 621-3128 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2025, Feb 2, 2023, Nov 17, 2021 and 1 more (4 updates tracked since 2021).

About Gordon Bradley Greaves Pa NPPES

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

GORDON BRADLEY GREAVES PA (NPI 1699708131) is an individual physician assistant in Wilder, Idaho, licensed in Idaho (PA615) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1699708131
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGORDON BRADLEY GREAVESCredential: PA
Location Address15821 ALLENDALE RDWilder, ID 83676-5864
Mailing Address15821 Allendale RdWilder, ID 83676-5864 · (208) 278-2863 · Fax (208) 621-3128
Phone(208) 278-2863
Fax(208) 621-3128
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 8, 2006
Last NPPES UpdateApril 14, 20254 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1699708131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in ID · PA615✔ Licensed in CA · 16369
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License PA615 (ID)
15821 ALLENDALE RD, Wilder, ID 83676
Open in Google Maps ↗

Other Names 1

Other Name (5)G Brad Greaves Pa

Other Identifiers 3

Medicaid807537400ID
Other16369CA · Pa License
OtherPA615ID · Idaho Board Of Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Gordon Bradley Greaves Pa 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 ID6204739113
PECOS Enrollment IDI20061101000271
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 2

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.

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.
49 services13 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
26 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83676 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
$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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims38 services$6.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SNAKE RIVER MENTAL HEALTH, PLLC
Psychiatry & Neurology (Psychiatry)
15821 ALLENDALE RD
WILDER, ID 83676
Canyon County (208) 278-2863

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 Gordon Greaves's NPI number?

The NPI number for Gordon Greaves is 1699708131. It was assigned to this individual provider in the NPPES registry on July 8, 2006. The provider is also known as G Brad Greaves PA.

Where is Gordon Greaves located?

Gordon Greaves practices at 15821 Allendale Rd, Wilder, ID 83676. The listed phone number is (208) 278-2863.

What is Gordon Greaves's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gordon Greaves enrolled in Medicare?

Yes. Gordon Greaves 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 Gordon Greaves accept?

Health plans from Moda Health Plan, Inc. list Gordon Greaves 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.

When was this NPI record last updated?

The NPPES record for Gordon Greaves was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.