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KATELYN BRIGHAM
NPI 1932788189
Pediatrics in Eagle, ID

Active since April 05, 2021PECOS Enrolled
450 W STATE ST, EAGLE, ID 83616(208) 939-1035(208) 939-8970 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2024, Apr 5, 2021 (2 updates tracked since 2021).

About Katelyn Brigham NPPES

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

KATELYN BRIGHAM (NPI 1932788189) is an individual pediatrics provider in Eagle, Idaho, licensed in Idaho (M-17891) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1932788189
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATELYN BRIGHAM
Location Address450 W STATE STEagle, ID 83616-7057
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 939-1035
Fax(208) 939-8970
Sole ProprietorNo
Enumeration DateApril 5, 2021
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1932788189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · M-17891
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
450 W STATE ST, Eagle, ID 83616
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Secondary Practice Location 1

Location 1705 Riley Hospital Dr., RI-5837Indianapolis, IN 46202-5109 · Phone (317) 944-4034

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 and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Brigham 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.

Medicare Billing Reassignment

Medicare enrollment records show Katelyn Brigham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC
9.8 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 8

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

NOREEN A. WOMACK MD
Pediatrics
450 W STATE ST, SUITE 100
EAGLE, ID 83616
Ada County (208) 939-1035
FAMILY & FUNCTIONAL MEDICINE OF IDAHO PLLC
Family Medicine
450 W STATE ST, SUITE 250
EAGLE, ID 83616
Ada County (208) 947-0925
MRS. AMANDA BETH WARTNER STINGER M.D., M.P.H.
Pediatrics
450 W STATE ST
EAGLE, ID 83616
Ada County (208) 939-1035
PEINE OSTEOPATHIC MEDICINE PLLC
Family Medicine
450 W STATE ST, SUITE 250
EAGLE, ID 83616
Ada County (208) 947-0925
DAN STREEBY DDS
Dentist (Pediatric Dentistry)
450 W STATE ST, STE 180
EAGLE, ID 83616
Ada County (208) 939-0600
KINESIS, LLC
Physical Therapist
450 W STATE ST, SUITE 250
EAGLE, ID 83616
Ada County (208) 939-9895
NATHAN J HIRSCH MD
Pediatrics
450 W STATE ST, STE 100
EAGLE, ID 83616
Ada County (208) 939-1035
PEINE METABOLIC WELLNESS CENTER
Nutritionist (Nutrition, Education)
450 W STATE ST, SUITE 250
EAGLE, ID 83616
Ada County (208) 947-0925

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 Katelyn Brigham's NPI number?

The NPI number for Katelyn Brigham is 1932788189. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Katelyn Brigham located?

Katelyn Brigham practices at 450 W State St, Eagle, ID 83616. The listed phone number is (208) 939-1035.

What is Katelyn Brigham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Katelyn Brigham enrolled in Medicare?

Yes. Katelyn Brigham is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Brigham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Brigham reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). The 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 Katelyn Brigham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Brigham accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Katelyn Brigham 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 Katelyn Brigham was last updated on September 5, 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.