BENJAMIN GARFIELD RAE IV
NPI 1770051229
Nurse Practitioner - Psychiatric/Mental Health in Idaho Falls, ID

Q: What is Benjamin Rae's NPI number?

The NPI number for Benjamin Rae is 1770051229. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Q: What is Benjamin Rae's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Rae was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 02, 2018PECOS EnrolledAccepts Medicare Assignment

530 S HOLMES AVE, IDAHO FALLS, ID 83401(208) 924-4360 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2025, Dec 5, 2024, Dec 6, 2018 and 1 more (4 updates tracked since 2018).

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About Benjamin Garfield Rae Iv NPPES

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

BENJAMIN GARFIELD RAE IV (NPI 1770051229) is an individual psychiatric/mental health provider in Idaho Falls, Idaho, licensed in Washington (AP608793306) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770051229

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBENJAMIN GARFIELD RAE IV

Location Address530 S HOLMES AVEIdaho Falls, ID 83401-5056

Mailing AddressPo Box 955Wilson, WY 83014-0955 · (307) 690-2938

Phone(208) 924-4360

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 2, 2018

Last NPPES UpdateMay 2, 20254 updates tracked since enumeration

NPPES CertifiedMay 2, 2025

✔ NPI 1770051229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP608793306

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60879306 (WA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP60879306 (WA)

530 S HOLMES AVE, Idaho Falls, ID 83401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Blue Cross and Blue Shield of Montana, BridgeSpan Health Company and more.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

Benjamin Garfield Rae Iv 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 ID5698017002

PECOS Enrollment IDI20190506001672, I20210603000404, I20211122002033, I20230216002501, I20250805001591

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 Reassignments

Medicare enrollment records show Benjamin Rae reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Open Space Mental Health LLC

0.6 mi

Psychiatry

530 S HOLMES AVE
Idaho Falls, ID 83401

Reassigned Medicare billing, Idaho enrollment

NPI 1235947524 (307) 690-2938

Ideal Option, PLLC

401 mi

Clinic/Center

8508 W GAGE BLVD STE A101
Kennewick, WA 99336

Reassigned Medicare billing, Idaho, Montana, New Mexico, Oregon and Washington enrollments
30 clinicians in this Medicare group

NPI 1457788275 (877) 522-1275

Ideal Telemedicine Services, LLC

566 mi

Clinic/Center

500 SW 7TH ST STE A205
Renton, WA 98057

Reassigned Medicare billing, Idaho, Montana, New Mexico, Oregon and Washington enrollments
30 clinicians in this Medicare group

NPI 1346754868 (877) 522-1275

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

260 services51 patients

Telehealth originating site facility fee Q3014

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

219 services45 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

102 services16 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481

A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.

55 services15 patients

Measurement of alcohol level in breath specimen 82075

Measurement of alcohol level in a breath specimen is a non-invasive procedure to estimate blood alcohol content. It involves blowing into a device, called a breathalyzer, which analyzes the alcohol concentration in your breath. It helps determine if alcohol use is within legal and safe limits.

44 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83401 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

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

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 5

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

EYE CLINIC OF IDAHO FALLS,PA

Ophthalmology