Teton Cardiovascular and Pulmonary Lab,llc
NPI 1699784413ActiveOrganization· Physiological Laboratory· Idaho Falls, ID
Physiological Laboratory in Idaho Falls, Idaho, registered in NPPES in August 2006. The authorized official on file is Braden L. Cazares, Ceo. Medicare paid $17,709 for services to 247 patients in 2024.
Overview
| NPI | 1699784413 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | May 6, 2025 |
| Certified by provider | May 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 247 |
|---|---|
| Services billed | 472 across 18 procedure codes |
| Paid by Medicare | $17,709 |