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DR. EDWARD GREGORY MOELLMER MD
NPI 1942566195
Family Medicine in Bonners Ferry, ID

Active since April 02, 2012PECOS EnrolledAccepts Medicare Assignment
6640 KANIKSU ST, BONNERS FERRY, ID 83805(208) 267-3141(208) 267-2202 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2023, Feb 27, 2023, Jul 11, 2016 (3 updates tracked since 2016).

About Dr. Edward Gregory Moellmer Md NPPES

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

DR. EDWARD GREGORY MOELLMER MD (NPI 1942566195) is an individual family medicine provider in Bonners Ferry, Idaho, licensed in Idaho (M-13338) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Fallon Medical Complex Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942566195
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EDWARD GREGORY MOELLMERCredential: MD
Location Address6640 KANIKSU STBonners Ferry, ID 83805-7532
Mailing Address802 2nd St NwBowman, ND 58623-4483 · (701) 523-5555 · Fax (701) 523-7107
Phone(208) 267-3141
Fax(208) 267-2202
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2012
Enumeration DateApril 2, 2012
Last NPPES UpdateJuly 21, 20253 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1942566195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · M-13338✔ Licensed in ND · 14045✔ Licensed in MT · 99946
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.
6640 KANIKSU ST, Bonners Ferry, ID 83805
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Secondary Practice Locations 2

Location 1802 2nd St NWBowman, ND 58623-4483 · Phone (701) 523-5555 · Fax (701) 523-7107
Location 2202 S 4th St WBaker, MT 59313-9156 · Phone (406) 778-2488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota, Molina Healthcare 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 and accepts Medicare assignment

Dr. Edward Gregory Moellmer Md 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 ID4486978079
PECOS Enrollment IDI20220425002037
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 Reassignments

3

Medicare enrollment records show Edward Moellmer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boundary Community Hospital
0.1 mi
Critical Access
6640 KANIKSU ST
Bonners Ferry, ID 83805
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1679621098 (Idaho)
  • 69 clinicians in this Medicare group
NPI 1801896683 (208) 267-3141
Fallon Medical Complex Inc
576 mi
Health Service
710 DRAKE STREET
Wibaux, MT 59353
  • Reassigned Medicare billing, Montana enrollment
  • Also billed through NPI 1316965346 (Montana)
  • 16 clinicians in this Medicare group
NPI 1043229776 (406) 778-2833
Southwest Health Care Services
629 mi
Clinic/Center
802 2ND ST NW
Bowman, ND 58623
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Southwesthealthcare Services
  • Also billed through NPI 1477529030 (North Dakota)
  • 10 clinicians in this Medicare group
NPI 1023083714 (701) 523-5555

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

Hospital Affiliations CMS Care Compare 2

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

Fallon Medical Complex Hospital

Critical Access Hospitals · Baker, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271301
Location202 S 4th St WBaker, MT 59313 · Fallon County
Emergency services

Southwest Healthcare Services

Critical Access Hospitals · Bowman, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351313
Location802 2nd St NWBowman, ND 58623 · Bowman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83805 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 20

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

RILEY DIEHL DO
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
MARK PRUITT D.O.
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
IAN REID ROBINSON
Registered Nurse (Gerontology)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (541) 908-8671
BOUNDARY COMMUNITY HOSPITAL
Pharmacy (Long Term Care Pharmacy)
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-4850
BOUNDARY COMMUNITY HOSPITAL
Skilled Nursing Facility
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-4850
MATTHEW WALLACE JOHNSON DO
Emergency Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
ROBERT YOST MD
Emergency Medicine
6640 KANIKSU ST, BOUNDAR COMMUNITY HOSPITAL
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141
DR. WILLIAM PAUL DIEHL IV D.O.
Internal Medicine
6640 KANIKSU ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-3141

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 Edward Moellmer's NPI number?

The NPI number for Edward Moellmer is 1942566195. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Edward Moellmer located?

Edward Moellmer practices at 6640 Kaniksu St, Bonners Ferry, ID 83805. The listed phone number is (208) 267-3141.

What is Edward Moellmer's specialty?

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

Is Edward Moellmer enrolled in Medicare?

Yes. Edward Moellmer 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.

Which organizations bill Medicare for Edward Moellmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Moellmer reassigns Medicare benefits to 3 organizations: Boundary Community Hospital (Bonners Ferry, ID), Fallon Medical Complex Inc (Wibaux, MT) and Southwest Health Care Services (Bowman, ND). Each 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 Edward Moellmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Moellmer accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, Molina Healthcare, PacificSource Health Plans and Providence Health Plan and 2 other insurers list Edward Moellmer 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 Edward Moellmer affiliated with any hospitals?

According to CMS data, Edward Moellmer is affiliated with Fallon Medical Complex Hospital and Southwest Healthcare Services.

When was this NPI record last updated?

The NPPES record for Edward Moellmer was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.