NPIMap

Sterling Provider Group

A Medicare group practice based in Idaho Falls, ID: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 2264773373), with 86 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264773373The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
ID, UT, WY
Enrollments
10
Group size
52 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
23In 14 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20190417002084 UT Part B Supplier - Clinic/Group Practice 1205300407
O20190417002023 WY Part B Supplier - Clinic/Group Practice 1205300407
O20190417001724 ID Part B Supplier - Clinic/Group Practice 1205300407
O20241122003710 UT Part A Provider - Rural Health Clinic 1164066015
O20240828004903 ID Part A Provider - Rural Health Clinic 1952923765
O20240913002037 ID Part A Provider - Rural Health Clinic 1912541863
O20240828004347 ID Part A Provider - Rural Health Clinic 1407564123
O20240830003632 WY Part A Provider - Rural Health Clinic 1164044962
O20240828005058 ID Part A Provider - Rural Health Clinic 1477200244
O20240913003642 ID Part A Provider - Rural Health Clinic 1659915593

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 86

Clinicians who reassign their Medicare benefits to this group (86) or whom Care Compare lists as members (52).

Sources for this page