DR. BRYAN JAMES BEARDSLEY (M.D.) – Orthopaedic Surgery Physician, NPI 1104856087

DR. BRYAN JAMES BEARDSLEY (M.D.) is a healthcare provider. based in Lewiston, Idaho. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. M9722 (ID). The NPI Number for DR. BRYAN JAMES BEARDSLEY (M.D.) is 1104856087

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYAN JAMES BEARDSLEY (M.D.)
NPI
1104856087
Phone
(208) 743-3523
Address
320 WARNER DR
Enumeration Date
4 July 2006
Last Update Date
24 June 2016

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2087433523
Graduation Year
2000 (26 years ago)
PAC ID
7810925658
Group Practice PAC ID
2365722105
Professional Enrollment ID
I20070501000221
Address ID
ID835014441LE320XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

181 ORTHOPEDIC SURGERY in ID

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Provider Addresses for DR. BRYAN JAMES BEARDSLEY (M.D.)

  • 320, Warner Drive, Lewiston, Nez Perce County, Idaho, 83501, United States

    LEWISTON, ID 835014441

    Phone: (208) 743-3523

    Fax: (208) 746-8471

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $661.

Total Amount is formed as General ($661) + Research ($0) + Ownership ($0) = $661.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Stryker Corporation ($318).

Total Amount

$661

General + Research + Ownership

Payments

23

Total payment records

General Amount

$661

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050802000559IOrthopedic SurgeryWATBD
I20070501000221IOrthopedic SurgeryIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,11679$0
20610Aspiration and/or injection of fluid from large joint11786$0
99214Established patient office or other outpatient visit, 30-39 minutes10394$0
20985Computer-assisted surgery for muscle and bone procedure7370$0
73030X-ray of shoulder, minimum of 2 views6748$0
View full utilization report →

Insurance plans in this area (ZIP 83501)

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Provider's Procedures

DR. BRYAN JAMES BEARDSLEY (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYID20610Aspiration and/or injection of large joint or joint capsule136104
ORTHOPEDIC SURGERYID27447Repair of knee joint2423
ORTHOPEDIC SURGERYID73562X-ray of knee, 3 views2119

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365722105View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. BRYAN JAMES BEARDSLEY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1104856087 for DR. BRYAN JAMES BEARDSLEY (M.D.).
Does the public listing show DR. BRYAN JAMES BEARDSLEY (M.D.) as active?
DR. BRYAN JAMES BEARDSLEY (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. BRYAN JAMES BEARDSLEY (M.D.)?
NPPES ties DR. BRYAN JAMES BEARDSLEY (M.D.) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. BRYAN JAMES BEARDSLEY (M.D.)?
DR. BRYAN JAMES BEARDSLEY (M.D.) is associated with Lewiston, Idaho in the same public data insurers reference.
Can I export DR. BRYAN JAMES BEARDSLEY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.