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Active NPI 1699708131 Individual Practitioner Male Practitioner

Gordon Bradley Greaves , PA

Physician Assistant • Wilder, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gordon Greaves, PA is a certified Physician Assistant practicing in Wilder, ID. With approximately 24 years of clinical experience since completing medical education in 2002, Gordon Greaves delivers high-quality medical care to the local community at 15821 ALLENDALE RD.

Gordon Greaves accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, psychotherapy with evaluation and management visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15821 Allendale Rd

Wilder, ID 836765864

Telephone 2082782863
Fax 2086213128
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wilder, ID

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs Matches City Avg
City Avg: 24.0 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Wilder, ID (1261 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Greaves (24 Years) 24 Yrs
Wilder Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
49 13 $274.14 $100.19
90836 Psychotherapy with evaluation and management visit, 45 minutes
26 12 $205.42 $72.85

Medical Specialties & State Licenses

CMS Verified: 2025-04-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA615

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CA 16369

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License ID PA615

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
807537400 (ID)
Commercial Insurance / Payer ID Pa License
16369 (CA)
Commercial Insurance / Payer ID Idaho Board Of Medicine
PA615 (ID)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location January 08, 2025

Registered at 15821 ALLENDALE RD, WILDER, ID 836765864 (Tel: 8016641757)

📍
Updated Business Mailing Address January 08, 2025

Registered at 15821 ALLENDALE RD, WILDER, ID 836765864 (Tel: 8016641757)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2025

Physician Assistant (License #16369 in CA)

📍
Updated Business Mailing Address February 02, 2023

Registered at 3271 N MILWAUKEE ST, BOISE, ID 837044425 (Tel: 8016641757)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2023

Nurse Practitioner (License #PA615 in ID)

📍
Updated Business Mailing Address November 17, 2021

Registered at 215 E HAWAII AVE, NAMPA, ID 836866011 (Tel: 8016641757)

📍
Updated Practice Location November 02, 2021

Registered at 3271 N MILWAUKEE ST, BOISE, ID 837044425 (Tel: 2089961700)

📍
Updated Business Mailing Address November 02, 2021

Registered at 15821 ALLENDALE RD, WILDER, ID 836765864 (Tel: 8016641757)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2021

Physician Assistant (License #16369 in CA)

NPI Profile Active December 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2016

Registered at 108 EAST IDAHO AVE., HOMEDALE, ID 83628 (Tel: 2083373189)

📍
Updated Business Mailing Address December 08, 2016

Registered at PO BOX 9, NAMPA, ID 836530009 (Tel: 2083373189)

👤
Provider Name / Credentials Updated December 08, 2016

Recorded as GORDON GREAVES, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2016

Physician Assistant (License #PA615 in ID)

🟢
Initial NPI Registration & Enumeration July 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699708131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2006
Last Update: April 14, 2025
Sole Proprietor: Yes

Mailing Address

15821 Allendale Rd

Wilder, ID 836765864

Phone: 2082782863

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.