Overview
Gordon S Bontrager is a family practice enrolled with Centers for Medicare & Medicaid Services (CMS). The business address is 39 N 1st, Preston, ID 83263-1325. Published on December 11, 2020.
Enrollment Information
| NPI | 1780919829 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
| PAC ID | 4486792769 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20201211001838 |
| Full Name | GORDON S BONTRAGER |
| Gender | M |
| Credential | MD - Medical Doctor |
| Medical School | EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | FAMILY PRACTICE |
| Address | 39 N 1st Preston ID 83263-1325 |
| Telephone | 2088521563 |
| Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
| Group Accepts Medicare Assignment | M - May accept Medicare Assignment |
Provider Overview
| NPI | 1780919829 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
| Provider Name | GORDON SCOTT BONTRAGER |
| Address | 465 Memorial Dr Pocatello ID 83201 |
| Taxonomy Code | 363A00000X |
| Enumeration Date | 2009-10-07 |
Organization Information
| Organization Legal Name | Group Practice PAC ID | Number of Group Practice Members | Address | Group Accepts Medicare Assignment |
|---|---|---|---|---|
| 39 N 1st, Preston, ID 83263-1325 | M | |||
| HEALTH WEST INC | 4981500931 | 43 | 500 S 11th Ave, Pocatello, ID 83201-4880 | Y |
| PRESTON FAMILY MEDICINE | 6507239845 | 2 | 44 N 1st, Preston, ID 83263-1326 | Y |
Individual EP (Eligible Professionals) Public Reporting Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)
| Measure Title | Performance Rate | Attestation Value | Star Value | Patient Count |
|---|---|---|---|---|
| Engagement of patients through implementation of improvements in patient portal | Y | 0 | ||
| Tobacco use | Y | 0 | ||
| Depression screening | Y | 0 | ||
| Chronic Care and Preventative Care Management for Empaneled Patients | Y | 0 | ||
| Implementation of medication management practice improvements | Y | 0 | ||
| Use of decision support and standardized treatment protocols | Y | 0 | ||
| Implementation of fall screening and assessment programs | Y | 0 | ||
| Consultation of the Prescription Drug Monitoring Program | Y | 0 | ||
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) (100%: worst, 0% best) (Electronic Health Record) | 26% | 27 | ||
| Preventive Care and Screening: Influenza Immunization (Electronic Health Record) | 28% | $2 | 183 | |
| Breast Cancer Screening (Electronic Health Record) | 50% | $3 | 28 | |
| Colorectal Cancer Screening (Electronic Health Record) | 62% | $3 | 61 | |
| Diabetes: Eye Exam (Electronic Health Record) | 41% | $2 | 27 | |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (Electronic Health Record) | 85% | $4 | 71 | |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (Electronic Health Record) | 100% | 193 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (Electronic Health Record) | 94% | 193 |
Organization Information
| Address | 39 N 1st Preston ID 83263-1325 |
| Telephone | 2088521563 |
| Medical School | EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE |
Doctors with the same school
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Aspen A. Owens | Physical Therapy | Appalachian Orthopaedic Associates P C | 105 Meadow View Rd, Suite 4, Bristol, TN 37620-1726 |
| Nicole Grey Lovill | Nurse Practitioner | Challie Minton, Md PC | 113 Scenic Outlet Ln, Suite 2, Mount Airy, NC 27030-9978 |
| Brian Christopher Nyberg | Psychiatry | Psychiatry of Texas PLLC | 7877 Willow Chase Blvd, Houston, TX 77070-5934 |
| Matthew Chase Coleman | Physical Therapy | Advanced Physical Therapy Inc | 3051 E Palmer Wasilla Hwy, Wasilla, AK 99654-7234 |
| Eva Christine Welch | Physical Therapy | Journey Physical Therapy and Balance Center | 2000 Monarch Pointe, Greeneville, TN 37745-4656 |
| Ashley E Light | Qualified Audiologist | South Lake Ears Nose and Throat Pa | 9710 Sam Furr Rd, Unit D, Huntersville, NC 28078-4928 |
| Kadie Sharrett | Qualified Audiologist | Holston Medical Group PC | 322 Steeles Rd, Bristol, TN 37620-9532 |
| Rachael Nicole Chastain | Nurse Practitioner | Instacare PLLC | 1338 Russell Ave, Jefferson Cty, TN 37760-2761 |
| Mckael Lee Conatser | Physical Therapy | South Fork Physical Therapy Rehab | 530 Industrial Ln, Oneida, TN 37841-6311 |
| David Wayne Cooper | Orthopedic Surgery | 585 S Mendenhall Rd, Memphis, TN 38117-4215 | |
| Find all doctors with the same school | |||
Location Information
| Street Address | 39 N 1ST |
| City | PRESTON |
| State | ID |
| Zip Code | 83263-1325 |
Doctors in the same zip code
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Christian D Nilson | Ophthalmology | Christian D Nilson Md PC | 47 N 1st, Preston, ID 83263-1325 |
| Stuart G Knapp | Family Practice | Franklin County Medical Center | 47 N 1st, Preston, ID 83263-1325 |
| Daniel Yugi Patten | Family Practice | Franklin County Medical Center | 47 N 1st, Preston, ID 83263-1325 |
| David B Beckstead | Family Practice | 41 N 1, Preston, ID 83263-1325 | |
| Lance R Bryce | General Surgery | Franklin County Medical Center | 47 N 1st, Preston, ID 83263-1325 |
| Harper Gibbs Sims | Nurse Practitioner | Preston Family Medicine | 43 N 1st, Preston, ID 83263-1325 |
Doctors in the same zip code
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Christopher Merrell Funk | Podiatry | 64 N 1st, Suite 200, Preston, ID 83263-1326 | |
| Jeffrey L Cromwell | Optometry | Eye Care for You LLC | 134 N State St, Suite A, Preston, ID 83263-1143 |
| Tyrell Yardley | Optometry | Eye Care for You LLC | 134 N State St, Suite A, Preston, ID 83263-1143 |
| Tifani J Waechtler | Physical Therapy | Preston Physical Therapy LLC | 10 S 100, Suite A, Preston, ID 83263-1244 |
| Brian Farley Richardson | Interventional Pain Management | Franklin County Medical Center | 44 N 1st, Preston, ID 83263-1326 |
| Amy Pabawena | Nurse Practitioner | Franklin County Medical Center | 44 N 1st, Preston, ID 83263-1326 |
| Jarren Samuel Miller | Chiropractic | Fellows Chiropractic LLC | 8 S State St, Preston, ID 83263-1243 |
| Rand M Jensen | Clinical Social Worker | Priestley Mental Health, Inc | 75 S 1st, Preston, ID 83263-1204 |
| Cami D Fellows | Clinical Social Worker | Priestley Mental Health, Inc | 75 S 1st, Preston, ID 83263-1204 |
| Douglas Scott Fellows | Chiropractic | Fellows Chiropractic LLC | 8 S State St, Preston, ID 83263-1243 |
| Find all doctors in the same zip code | |||
Similar Physicians
Doctors with similar names
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Gordon K Chu | Neurosurgery | Southern Illinois Medical Services Nfp | 305 W Jackson St, Suite 400, Carbondale, IL 62901-1474 |
| Gordon G K Yee | Orthopedic Surgery | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3331 | |
| Michael Dean Bontrager | Clinical Social Worker | Parkview Health System Inc | 512 N Professional Way, Kendallville, IN 46755-2927 |
| Amy D Gordon | Nurse Practitioner | Covenant Medical Group | 2215 Nashville Ave, Lubbock, TX 79410-1105 |
| Renee L Bontrager | Nurse Practitioner | Jackson Medical Center, LLC | 220 Hospital Dr, Jackson, AL 36545-2459 |
| Dawn E Bontrager | Clinical Social Worker | 203 E Mishawaka Ave, Bontrager Therapy Services, Mishawaka, IN 46545-6602 | |
| Warren Dean Bontrager | Anesthesiology | Southeast Anesthesiologists, Inc. | 8111 S Emerson Ave, Indianapolis, IN 46237-8601 |
| Lilly Bontrager | Family Practice | Mercy Health Physicians Lima, LLC | 1800 E 5th St, Suite 1, Delphos, OH 45833-9180 |
| John Bontrager II | Chiropractic | 121 N Mill St, St Louis, MI 48880-1522 | |
| Travis D Bontrager | Internal Medicine | Southland Bainbridge Hospitalist Group, LLC | 1155 5th St Se, Cairo, GA 39828-3142 |
Improve Information
Do you have more infomration about Gordon S Bontrager? Please fill in the following form.
Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
