1. Home
  2. Directory
  3. Idaho
  4. Preston
  5. Family Medicine
  6. NPI Profile

PRESTON FAMILY MEDICINE
NPI 1891406112
Family Medicine in Preston, ID

Active since December 07, 2022

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2023, Dec 7, 2022 (2 updates tracked since 2022).

About Preston Family Medicine NPPES

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

PRESTON FAMILY MEDICINE (NPI 1891406112) is a healthcare organization registered as a family medicine in Preston, Idaho and active in the NPI registry since December 2022. The organization lists Gordon Scott Bontrager, Owner, as its authorized official.

NPPES Registry Identity

NPI1891406112
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRESTON FAMILY MEDICINE
Location Address43 N 1ST EPreston, ID 83263-1325
Mailing Address43 N 1st EPreston, ID 83263-1325 · (423) 215-6465
Phone(423) 215-6465
Organization SubpartNo
Authorized OfficialGordon Scott BontragerOwner · (423) 215-6465
Enumeration DateDecember 7, 2022
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1891406112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
43 N 1ST E, Preston, ID 83263
Open in Google Maps ↗

Other Identifiers 1

Medicaid1780919829ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, University of Utah Health Plans.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)

Preston Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Preston Family Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gordon Bontrager, MD
Family Practice
NPI 1780919829
43 N 1ST E
Preston, ID 83263
(208) 648-4771
✔ PECOS✔ Accepts MedicareSame address
Harper Sims, DNP, FNP-C
Nurse Practitioner
NPI 1932883055
43 N 1ST E
Preston, ID 83263
(208) 648-4771
✔ PECOS✔ Accepts MedicareSame address

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 Preston Family Medicine's NPI number?

The NPI number for Preston Family Medicine is 1891406112. It was assigned to this organization in the NPPES registry on December 7, 2022.

Where is Preston Family Medicine located?

Preston Family Medicine is located at 43 N 1st E, Preston, ID 83263. The listed phone number is (423) 215-6465.

What is Preston Family Medicine's specialty?

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

Is Preston Family Medicine enrolled in Medicare?

Yes. Preston Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Preston Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Preston Family Medicine, in Family Practice and Nurse Practitioner. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Preston Family Medicine accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare and University of Utah Health Plans list Preston Family Medicine 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 Preston Family Medicine was last updated on March 1, 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.