MR. DALLIN BRIM GAMBLES PA
NPI 1760533400
Physician Assistant - Medical in Rexburg, ID

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
380 WALKER DR, REXBURG, ID 83440(208) 356-9559 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Dallin Brim Gambles Pa NPPES

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

MR. DALLIN BRIM GAMBLES PA (NPI 1760533400) is an individual medical provider in Rexburg, Idaho, licensed in Idaho (PA-236) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1760533400
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DALLIN BRIM GAMBLESCredential: PA
Location Address380 WALKER DRRexburg, ID 83440-1657
Mailing Address380 Walker DriveRexburg, ID 83440 · (208) 356-9559 · Fax (208) 356-6601
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1760533400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · PA-236
380 WALKER DR, Rexburg, ID 83440

Other Identifiers 4

Medicare UPINS70606ID
OtherPALDOID · Blue Cross
Medicare ID-Type Unspecified1375808ID · Medicare
OtherP00134875ID · Railroad Medicare

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

Mr. Dallin Brim Gambles 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 ID5597733238
PECOS Enrollment IDI20040921000705
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
505 services166 patients
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.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130074
Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County
Emergency services

Teton Valley Hospital

Critical Access Hospitals · Driggs, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131313
Location120 East Howard AveDriggs, ID 83422 · Teton County
Emergency services

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.

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
2 suppliers14 claims14 services$82.49 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 3

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

Internal Medicine (Hematology & Oncology)
380 WALKER DR
REXBURG, ID 83440
Pediatrics
380 WALKER DR
REXBURG, ID 83440
Durable Medical Equipment & Medical Supplies
380 WALKER DR
REXBURG, ID 83440

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 Dallin Gambles's NPI number?

The NPI number for Dallin Gambles is 1760533400. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Dallin Gambles located?

Dallin Gambles practices at 380 Walker Dr, Rexburg, ID 83440. The listed phone number is (208) 356-9559.

What is Dallin Gambles's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dallin Gambles enrolled in Medicare?

Yes. Dallin Gambles 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 Dallin Gambles accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Dallin Gambles 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 Dallin Gambles affiliated with any hospitals?

According to CMS data, Dallin Gambles is affiliated with Madison Memorial Hospital, Mountain View Hospital, Idaho Falls Community Hospital, LLC and Teton Valley Hospital.

When was this NPI record last updated?

The NPPES record for Dallin Gambles was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.