BEAU BIGELOW (MD) – Physical Medicine & Rehabilitation Physician, NPI 1790282796

BEAU BIGELOW (MD) is a healthcare provider. based in Boise, Idaho. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. MRM-1711 (ID). The NPI Number for BEAU BIGELOW (MD) is 1790282796

Main info

Male
8 Years Of Experience
Name
BEAU BIGELOW (MD)
NPI
1790282796
Phone
Not provided
Address
500 W FORT ST # 111R
Enumeration Date
7 April 2018
Last Update Date
18 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
8921363359
Professional Enrollment ID
I20220801001607
Address ID
IL601813994OA1XXXXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

64 PHYSICAL MEDICINE AND REHABILITATION in ID

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Provider Addresses for BEAU BIGELOW (MD)

  • 111, West Fort Street, Boise, Ada County, Idaho, 83702, United States

    BOISE, ID 837024501

    Phone:

    Type: Mailing

  • 1S450 SUMMIT AVE STE 165

    OAKBROOK TERRACE, IL 601813952

    Phone: (630) 320-6871

    Type: Location

  • 1S761 SHEFFIELD LN

    WARRENVILLE, IL 605551016

    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: 2024-10-15

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
I20220801001607IPhysical Medicine And RehabilitationILTBD
I20241015003359IPhysical Medicine And RehabilitationIDTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,661551$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,643552$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes791687$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month20597$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month14160$0
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Insurance plans in this area (ZIP 83702)

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Reviews

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Frequently asked questions

Can I use this page to confirm BEAU BIGELOW (MD)'s NPI?
Yes. BEAU BIGELOW (MD) is listed with NPI 1790282796 in the public NPI dataset.
Is BEAU BIGELOW (MD) still practicing?
BEAU BIGELOW (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes BEAU BIGELOW (MD)?
For research purposes, treat BEAU BIGELOW (MD) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is BEAU BIGELOW (MD) based?
BEAU BIGELOW (MD) is tied to Boise, Idaho in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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