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DR. GREGORY D PENNOCK MD
NPI 1700889607
Internal Medicine - Cardiovascular Disease in Sandpoint, ID

Active since May 24, 2005PECOS Enrolled
423 N THIRD AVE STE 335, SANDPOINT, ID 83864(208) 265-7070(208) 265-7071 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Gregory D Pennock Md NPPES

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

DR. GREGORY D PENNOCK MD (NPI 1700889607) is an individual cardiovascular disease provider in Sandpoint, Idaho, licensed in Idaho (M12621) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700889607
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. GREGORY D PENNOCKCredential: MD
Location Address423 N THIRD AVE STE 335Sandpoint, ID 83864
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5085 · Fax (208) 625-5731
Phone(208) 265-7070
Fax(208) 265-7071
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateJune 8, 2018
✔ NPI 1700889607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in ID · M12621
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.
423 N THIRD AVE STE 335, Sandpoint, ID 83864
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 D Pennock Md 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 Pennock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kootenai Health, Inc.
42 mi
Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 301 clinicians in this Medicare group
NPI 1174661151 (208) 625-4000

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 83864 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.

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 Gregory Pennock's NPI number?

The NPI number for Gregory Pennock is 1700889607. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Gregory Pennock located?

Gregory Pennock practices at 423 N Third Ave Ste 335, Sandpoint, ID 83864. The listed phone number is (208) 265-7070.

What is Gregory Pennock's specialty?

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

Is Gregory Pennock enrolled in Medicare?

Yes. Gregory Pennock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gregory Pennock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Pennock reassigns Medicare benefits to Kootenai Health, Inc. (Coeur D Alene, 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 Gregory Pennock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Pennock accept?

Health plans from Providence Health Plan list Gregory Pennock 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 Gregory Pennock was last updated on June 8, 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.