KODY RAY GOULD PA
NPI 1750046983
Physician Assistant in Blackfoot, ID

Active since November 02, 2021PECOS EnrolledAccepts Medicare Assignment
1350 PARKWAY DR, BLACKFOOT, ID 83221(208) 782-2410 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kody Ray Gould Pa NPPES

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

KODY RAY GOULD PA (NPI 1750046983) is an individual physician assistant in Blackfoot, Idaho, licensed in Idaho (PA-2158) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Bingham Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1750046983
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKODY RAY GOULDCredential: PA
Location Address1350 PARKWAY DRBlackfoot, ID 83221-1657
Mailing Address1860 S 2nd Ave Apt 24Pocatello, ID 83201-6874 · (253) 620-0072
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
NPI 1750046983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA-2158
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.
1350 PARKWAY DR, Blackfoot, ID 83221

Accepted 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

Kody Ray Gould 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 ID1850781972
PECOS Enrollment IDI20211203002617
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

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

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131325
Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
1350 PARKWAY DR
BLACKFOOT, ID 83221
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1350 PARKWAY DR, STE 26
BLACKFOOT, ID 83221
Clinic/Center (Rural Health)
1350 PARKWAY DR
BLACKFOOT, ID 83221
Nurse Practitioner (Family)
1350 PARKWAY DR
BLACKFOOT, ID 83221

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 Kody Gould's NPI number?

The NPI number for Kody Gould is 1750046983. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Kody Gould located?

Kody Gould practices at 1350 Parkway Dr, Blackfoot, ID 83221. The listed phone number is (208) 782-2410.

What is Kody Gould's specialty?

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

Is Kody Gould enrolled in Medicare?

Yes. Kody Gould 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 Kody Gould accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Kody Gould 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 Kody Gould affiliated with any hospitals?

According to CMS data, Kody Gould is affiliated with Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kody Gould was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.