PETER GOULD (MD) – Emergency Medicine Physician, NPI 1184207490

PETER GOULD (MD) is a healthcare provider. based in Moscow, Idaho. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. M-17637 (ID). The NPI Number for PETER GOULD (MD) is 1184207490

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
PETER GOULD (MD)
NPI
1184207490
Phone
(208) 882-4511
Address
700 S Main St
Enumeration Date
4 May 2021
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7852958000
Graduation Year
2021 (5 years ago)
PAC ID
2365851029
Group Practice PAC ID
2365871688
Professional Enrollment ID
I20241106003548
Address ID
ID835012431LE415XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Digital endpointsOther names

270 EMERGENCY MEDICINE in ID

Provider Addresses for PETER GOULD (MD)

  • 700 S Main St

    Moscow, ID 838433046

    Phone: (208) 882-4511

    Fax: (208) 883-6580

    Type: Location

  • 801 OSTRUM ST

    BETHLEHEM, PA 180151000

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20241106003548IEmergency MedicineIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83843)

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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: 2365871688View full group profile
NameSpecialtyState
Nurse PractitionerID
Emergency MedicineWA
Emergency MedicineID
Emergency MedicinePA

Reviews

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Frequently asked questions

What unique ID ties claims to PETER GOULD (MD)?
NPI 1184207490 is assigned to PETER GOULD (MD) under the national enumeration system.
Does this profile mean PETER GOULD (MD) is currently active?
Yes — PETER GOULD (MD) appears active in the national provider directory.
Can you summarize PETER GOULD (MD)'s specialty in plain language?
Clinically, the directory lists PETER GOULD (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is PETER GOULD (MD)'s primary listing?
We display Moscow, Idaho because that is what the record indicates for PETER GOULD (MD).
How can I contact PETER GOULD (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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