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Peter Gordon Gourley

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NPI Number Detailed Information

Provider Information:

Name: Peter Gordon Gourley
Gender: M
Provider License Number If Given: AP30005913

NPI Information:

NPI: 1114961240
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/16/2006

Last Update Date: 2/11/2016

Provider Business Mailing Address:

Address: 2481 HALLEBERRY
Hayden, ID 83835
Phone Number: 5099897764
Fax Number: 5097645072

Provider Business Practice Location Address:

Address: 1130 W PRAIRIE AVE
Coeur D Alene, ID 83815
Phone Number: 2082090288
Fax Number: 2082090289

Provider Taxonomy:

Primary: 363LP0808X
Secondary (if any):
State: ID

Top Doctors in ID

 

About Peter Gordon Gourley

Peter Gordon Gourley ( PETER GORDON GOURLEY ) is Definition Nurse Practitioner Physician in Coeur D Alene, ID. The NPI Number for Peter Gordon Gourley is 1114961240.
The current location address for Peter Gordon Gourley is 1130 W PRAIRIE AVE Coeur D Alene, ID 83815 and the contact number is 5099897764 and fax number is 5097645072. The mailing address for Peter Gordon Gourley is 2481 HALLEBERRY Hayden, ID 83835- 2082090288 (mailing address contact number - 5099897764).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Peter Gordon Gourley ?


Answer: The NPI Number for Peter Gordon Gourley is 1114961240

Where is Peter Gordon Gourley located?


Answer: Peter Gordon Gourley is located at 1130 W PRAIRIE AVE Coeur D Alene, ID 83815.

What is the specialty for Peter Gordon Gourley ?


Answer: The Specialty of Peter Gordon Gourley is Definition Nurse Practitioner Physician.

Are there any online reviews for Peter Gordon Gourley ?


Answer: Not yet!

Are there any other health care providers in Coeur D Alene, ID?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Peter Gordon Gourley

Number of HCPCS 9
Number of Medicare Beneficiaries 13
Number of Services 108
Total Submitted Charge Amount 23350
Total Medicare Allowed Amount 10167.95
Total Medicare Payment Amount 7394.14
Total Medicare Standardized Payment Amount 8327.85
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 9
Number of Medicare Beneficiaries With Medical 13
Number of Medical Services 108
Total Medical Submitted Charge Amount 23350
Total Medical Medicare Allowed Amount 10167.95
Total Medical Medicare Payment Amount 7394.14
Total Medical Medicare Standardized Payment Amount 8327.85
Average Age of Beneficiaries 46
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84 0
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure 0
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis 0
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 0.7846

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 353
Number of Standardized 30-Day Fills 462.63333333
Aggregate Cost Paid for All Claims 351666.64
Number of Day's Supply for All Claims 13705
Number of Medicare Beneficiaries 17
Number of Claims, Including Refills, for Beneficiaries Age 65+ 71
Including Refills, for Beneficiaries Age 65+ 120.36666667
Beneficiaries Age 65+ 4322.97
Number of Day's Supply for All Claims for Beneficaries Age 65+ 3519
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 87
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 266
Aggregate Cost Paid for Generic Drugs 30290.25
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst #
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 285
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 347412.28
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 68
by Low-Income Subsidy 4254.36
Total Claims of Opioid Drugs, Including 12
Aggregate Cost Paid for Opioid Drugs 37.12
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 3.3994334278
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 53.294117647
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 15
Number of Black or African American 0
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement
Average Hierarchical Condition Category 1.0223039216

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Dr. John Roger Anderson
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Address: 8611 W EAGLE RIDGE RD Coeur D Alene, ID 83814 , Phone: 2086644455
Paul S Fontana
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Ms. Katie Dawn Jarstad
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North Idaho Family Physicians, Llc
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Leonard D Guth
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Valerie M Kastens
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Shana D Fogarty
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Shopko Stores Operating Co. Llc
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Mary T Szymanski
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Margaret A Wasserman
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Lake City Medical Investors, Llc
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Address: 1401 LINCOLN WAY Coeur D Alene, ID 83814 , Phone: 2086761424
Joanne M Huestis
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Address: 2003 KOOTENAI HEALTH WAY Coeur D Alene, ID 83814 , Phone: 2086254000
Susan B Almeida
Physician Assistant
NPI Number: 1518911981
Address: 1090 W PARK PL Coeur D Alene, ID 83814 , Phone: 2086645174
Erika M Mikles
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Denise F Sweeney
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Address: 1052 W MILL AVE Coeur D Alene, ID 83814 , Phone: 2086643301
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Clinical Social Worker
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Gloria M Schnell
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NPI Number: 1972558153
Address: 700 W IRONWOOD DR SUITE 236 Coeur D Alene, ID 83814 , Phone: 2087651345
Dr. Dennis B Cooke
Cardiovascular Disease Physician
NPI Number: 1285680488
Address: 700 W IRONWOOD DR SUITE 350 Coeur D Alene, ID 83814 , Phone: 2086769913
Dr. Carl L Hanson
Cardiovascular Disease Physician
NPI Number: 1831145069
Address: 700 W IRONWOOD DR SUITE 350 Coeur D Alene, ID 83814 , Phone: 2086769913
Dr. Ronald M Fritz
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Erik J Payne
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Anesthesia Associates Of Coeur D Alene Pllc
Certified Registered Nurse Anesthetist
NPI Number: 1962440966
Address: 101 W IRONWOOD DR STE 250 Coeur D Alene, ID 83814 , Phone: 2087658585
Dr. Cindy L Ellenbecker
Optometrist
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Address: 402 W CANFIELD AVE STE 5 Coeur D Alene, ID 83815 , Phone: 2086590750

Peter Gordon Gourley in Other Directories

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