GORDON BRADLEY GREAVES (PA) – Physician Assistant, NPI 1699708131
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for GORDON BRADLEY GREAVES (PA)
15821 ALLENDALE RD
WILDER, ID 836765864
Phone: (208) 278-2863
Fax: (208) 621-3128
Type: Mailing
215 E HAWAII AVE
NAMPA, ID 836866011
Phone: (801) 664-1757
Fax: (208) 350-6674
Type: Mailing
3271 N MILWAUKEE ST
BOISE, ID 837044425
Phone: (208) 996-1700
Fax: (208) 350-6674
Type: Location
Nampa, Canyon County, Idaho, United States
NAMPA, ID 836530009
Phone: (208) 337-3189
Fax: (208) 337-4623
Type: Mailing
108, East Idaho Avenue, Homedale, Owyhee County, Idaho, 83628, United States
HOMEDALE, ID 83628
Phone: (208) 337-3189
Fax: (208) 337-4623
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,654.
Total Amount is formed as General ($1,654) + Research ($0) + Ownership ($0) = $1,654.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($516).
Total Amount
$1,654
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,654
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $516 |
| Neurocrine BioSciences Inc. | $248 |
| Vanda Pharmaceuticals Inc. | $237 |
| Otsuka America Pharmaceutical, Inc. | $230 |
| Corium, LLC | $114 |
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: 2006-11-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061101000271 | I | Physician Assistant | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 13 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 35 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 11 | $0 |
Insurance plans in this area (ZIP 83676)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | ID | 83036 | Hemoglobin A1C level | 91 | 41 |
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