TETON OBSTETRICS AND GYNECOLOGY PA
NPI 1780043042
Obstetrics & Gynecology in Idaho Falls, ID
About Teton Obstetrics And Gynecology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TETON OBSTETRICS AND GYNECOLOGY PA (NPI 1780043042) is a healthcare organization registered as an obstetrics & gynecology in Idaho Falls, Idaho and active in the NPI registry since February 2016. The organization lists Katie Davenport, Billing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Teton Obstetrics And Gynecology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Teton Obstetrics And Gynecology PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Teton Obstetrics And Gynecology PA's NPI number?
The NPI number for Teton Obstetrics And Gynecology PA is 1780043042. It was assigned to this organization in the NPPES registry on February 15, 2016.
Where is Teton Obstetrics And Gynecology PA located?
Teton Obstetrics And Gynecology PA is located at 2001 S Woodruff Ave Suite 10, Idaho Falls, ID 83404. The listed phone number is (208) 523-2060.
What is Teton Obstetrics And Gynecology PA's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Teton Obstetrics And Gynecology PA enrolled in Medicare?
Yes. Teton Obstetrics And Gynecology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Teton Obstetrics And Gynecology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Teton Obstetrics And Gynecology PA. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Teton Obstetrics And Gynecology PA accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Teton Obstetrics And Gynecology PA 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 Teton Obstetrics And Gynecology PA was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Teton Obstetrics And Gynecology Pa · NPI 1780043042
Obstetrics & Gynecology organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since February 15, 2016.
## Identity
- **NPI:** 1780043042 (Entity type: Organization)
- **Enumerated:** February 15, 2016
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Katie Davenport, BILLING
## Practice location
- **Address:** 2001 S WOODRUFF AVE, SUITE 10, Idaho Falls, ID 83404-6374
- **Phone:** (208) 523-2060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Obstetrics/Gynecology) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 15, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1780043042) · Data from the CMS NPPES public registry.