DR. TOM GUDMESTAD DDS
NPI 1851308050
Dentist - General Practice in Weiser, ID

Active since August 01, 2006PECOS Enrolled
522 E 4TH ST, WEISER, ID 83672(208) 549-2213(208) 549-4187 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Tom Gudmestad Dds NPPES

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

DR. TOM GUDMESTAD DDS (NPI 1851308050) is an individual general practice provider in Weiser, Idaho, licensed in Idaho (D3117) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851308050
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TOM GUDMESTADCredential: DDS
Location Address522 E 4TH STWeiser, ID 83672-2205
Mailing Address522 E 4th StWeiser, ID 83672-2205 · (208) 549-2213 · Fax (208) 549-4187
Fax(208) 549-4187
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 16, 2023
NPPES CertifiedJune 16, 2023
✔ NPI 1851308050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D3117
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
522 E 4TH ST, Weiser, ID 83672

Other Identifiers 2

Other61937ID · Blue Cross Id Payee Numbe
Medicaid000504200ID

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 (PECOS)

Dr. Tom Gudmestad Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83672 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.

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 Tom Gudmestad's NPI number?

The NPI number for Tom Gudmestad is 1851308050. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Tom Gudmestad located?

Tom Gudmestad practices at 522 E 4th St, Weiser, ID 83672. The listed phone number is (208) 549-2213.

What is Tom Gudmestad's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tom Gudmestad enrolled in Medicare?

Yes. Tom Gudmestad is registered in the Medicare PECOS enrollment system.

What insurance does Tom Gudmestad accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Tom Gudmestad 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 Tom Gudmestad was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.