GREGORY W. HALBUR M.D.
NPI 1780624205
Family Medicine in Sioux City, IA

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
3520 SINGING HILLS BLVD, SIOUX CITY, IA 51106(712) 294-7400(712) 294-7436 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory W. Halbur M.d. NPPES

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

GREGORY W. HALBUR M.D. (NPI 1780624205) is an individual family medicine provider in Sioux City, Iowa, licensed in Iowa (29360) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1992).

NPPES Registry Identity

NPI1780624205
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGREGORY W. HALBURCredential: M.D.
Location Address3520 SINGING HILLS BLVDSioux City, IA 51106-5110
Mailing AddressPo Box 328Sioux City, IA 51102-0328 · (712) 279-5830 · Fax (712) 279-5883
Fax(712) 294-7436
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1992
Enumeration DateJune 7, 2006
Last NPPES UpdateApril 19, 2024
NPPES CertifiedApril 19, 2024
NPI 1780624205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 29360
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3520 SINGING HILLS BLVD, Sioux City, IA 51106

Other Identifiers 4

Medicaid4102244IA
Medicaid42128384914IA
Medicaid7774480IA
Other51126IA · Wellmark Bcbs

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

Gregory W. Halbur M.d. 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 ID7911045034
PECOS Enrollment IDI20091111000039, I20230405000683
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 26

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.
990 services441 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
954 services481 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.
547 services309 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
330 services148 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
197 services197 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
179 services32 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Mercyone Siouxland Medical Center

Acute Care Hospitals · Sioux City, IA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160153
Location801 5th StSioux City, IA 51101 · Woodbury County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51106 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers58 claims106 services$5.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$1.16 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier18 claims360 services$5.34 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier16 claims320 services$3.09 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers24 claims24 services$87.63 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers17 claims31 services$34.50 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 7

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

Family Medicine
3520 SINGING HILLS BLVD
SIOUX CITY, IA 51106
Nurse Practitioner (Family)
3520 SINGING HILLS BLVD
SIOUX CITY, IA 51106
Nurse Practitioner (Family)
3520 SINGING HILLS BLVD
SIOUX CITY, IA 51106
Family Medicine
3520 SINGING HILLS BLVD
SIOUX CITY, IA 51106
Nurse Practitioner (Family)
3520 SINGING HILLS BLVD
SIOUX CITY, IA 51106
Internal Medicine
3520 SINGING HILLS BLVD
SIOUX CITY, IA 51106
Family Medicine
3520 SINGING HILLS BLVD
SIOUX CITY, IA 51106

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 Halbur's NPI number?

The NPI number for Gregory Halbur is 1780624205. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Gregory Halbur located?

Gregory Halbur practices at 3520 Singing Hills Blvd, Sioux City, IA 51106. The listed phone number is (712) 294-7400.

What is Gregory Halbur's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gregory Halbur enrolled in Medicare?

Yes. Gregory Halbur 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 Gregory Halbur accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list Gregory Halbur 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 Gregory Halbur affiliated with any hospitals?

According to CMS data, Gregory Halbur is affiliated with St Lukes Regional Medical Center and Mercyone Siouxland Medical Center.

When was this NPI record last updated?

The NPPES record for Gregory Halbur was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.