ROBERT TODD GILLESPIE P.A.
NPI 1922026467
Physician Assistant in Malad City, ID

Q: What is Robert Gillespie's NPI number?

The NPI number for Robert Gillespie is 1922026467. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Robert Gillespie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Gillespie was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

220 BANNOCK ST, SUITE B, MALAD CITY, ID 83252(208) 766-2600 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Robert Todd Gillespie P.a. NPPES

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

ROBERT TODD GILLESPIE P.A. (NPI 1922026467) is an individual physician assistant in Malad City, Idaho, licensed in Idaho (PA205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bingham Memorial Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1922026467

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameROBERT TODD GILLESPIECredential: P.A.

Location Address220 BANNOCK ST, SUITE BMalad City, ID 83252-1256

Mailing AddressPo Box 126, Suite BMalad City, ID 83252-0126 · (208) 766-2231 · Fax (208) 766-4819

Phone(208) 766-2600

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJuly 17, 2006

Last NPPES UpdateJune 10, 2011

✔ NPI 1922026467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · PA205

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

220 BANNOCK ST, Malad City, ID 83252

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Other Identifiers 3

Other970011284ID · Railroad Medicare Ptan

Medicare PIN1665665ID

Medicaid805203600ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Robert Todd Gillespie P.a. 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 ID1456538792

PECOS Enrollment IDI20110614000173

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.

Hospital Affiliations CMS Care Compare

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

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131325

Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83252 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$101.35 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$35.47 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 15

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

RICK C. CLARK JR. PA

Physician Assistant

220 BANNOCK ST, SUITE 306
MALAD CITY, ID 83252

Oneida County (208) 766-2600

MEL BINGHAM PA-C

Physician Assistant