NPIMap

Individual provider Active NPI

Gregory M Ford, MD

  • Orthopaedic Surgery Physician
  • Pocatello, ID
National Provider Identifier
1104928670
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M-12085 Issued in ID
Practice address
950 Hospital Way
Ste a
Pocatello, ID 83201-2762
Phone
(208) 478-4522
Fax
(208) 712-6868
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X M-12085 ID
Orthopaedic Surgery Physician 207X00000X M-12085 ID Primary

Addresses

Primary practice location

950 Hospital Way
Ste a
Pocatello, ID 83201-2762

Mailing address

950 Hospital Way
Ste a
Pocatello, ID 83201-2762
Phone (208) 478-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130920000195 ID Practitioner - Orthopedic Surgery 8325294200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Utah School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians
Gregory M Ford MD PLLCGroup PAC ID 8921225483, 3 clinicians

Practice addresses (Care Compare)

777 Hospital Way
Pocatello, ID 83201-5175

950 Hospital Way
Suite a
Pocatello, ID 83201-2762
Phone (208) 478-4522

950 Hospital Way a
Pocatello, ID 83201-2764
Phone (208) 478-4522

Hospital & facility affiliations

  • Heritage Home Health Home health agency, Pocatello, ID, CCN 137117
  • Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
  • Enhabit Home Health of Idaho Home health agency, Twin Falls, ID, CCN 137100
  • Enhabit Home Health of Eastern Idaho Home health agency, Idaho Falls, ID, CCN 137105
  • Advanced Home Health Home health agency, Idaho Falls, ID, CCN 137116
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
  • Caribou Medical Center Hospital, Soda Springs, ID, CCN 131309

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement33
Knee replacement22
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)13
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-12085IDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Health Services, LLC Current Accepting new patients
Pocatello Hospital LLC Past Accepting new patients

Locations

777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640

Interoperability endpoints

  • Direct secure messaging: gford262153@ahs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1104928670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HOSPITAL WAY",
            "address_2": "STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012762",
            "telephone_number": "208-478-4522",
            "fax_number": "208-712-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HOSPITAL WAY",
            "address_2": "STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012762",
            "telephone_number": "208-478-4522",
            "fax_number": "208-712-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "GREGORY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "ID",
            "license": "M-12085",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-12085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.