NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1497795215 M.D.
Verify on CMS → Ted Rea, M.D.
Gastroenterology Physician in Twin Falls, Idaho.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
704
Medicare Part D claims · 155 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ted Rea, M.D. filed 704 Medicare Part D claims in 2023 as a Gastroenterology Physician in Twin Falls, Idaho, prescribing 81% generic.
- 704
- Part D claims, 2023
- 81%
- generic prescribing
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Ted Rea, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
704 Top 29% higher than 71% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Ted Rea, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Ted Rea, M.D.?
Quality data not reportedPrimary specialty
Gastroenterology Physician
Medicare Part D claims
704 15% vs specialty avg
Specialty distribution in Idaho
How Gastroenterology Physician compares to other specialties among Idaho providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gastroenterology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Ted Rea, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 1411 FALLS AVE E, Twin Falls, ID, 83301, with a listed phone of (208) 933-4277. NPI 1497795215 was issued on 06/08/2006.
Medicare Part D records for calendar year 2023 show 704 prescription claims written by this provider, covering 155 Medicare beneficiaries and totaling roughly $653K in drug spend, split 19% brand-name and 81% generic by claim count.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1497795215 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/08/2006 |
Brand vs generic prescribing mix · Typical
Ted Rea, M.D. - brand share 19.0%
Gastroenterology Physician average
19% brand-name claims vs 81% generic, on 704 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
704
Total Claims
$653K
Total Drug Cost
155
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,271
- Total Day Supply
- 34,867
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $613K
- Generic Drug Cost
- $41K
- Antibiotic Claims
- 18
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 0.94
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ted Rea, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Omeprazole
Omeprazole
129 claims
- Ondansetron Hcl 49
Ondansetron Hcl
49 claims
- Ozempic 28
Ozempic
28 claims
- Balsalazide Disodium 27
Balsalazide Disodium
27 claims
- Pantoprazole Sodium 25
Pantoprazole Sodium
25 claims
- Budesonide Dr 22
Budesonide Dr
22 claims
- Cholestyramine 19
Cholestyramine
19 claims
- Sucralfate 18
Sucralfate
18 claims
| Drug | Claims |
|---|---|
| Omeprazole | 129 |
| Ondansetron Hcl | 49 |
| Ozempic Semaglutide | 28 |
| Balsalazide Disodium | 27 |
| Pantoprazole Sodium | 25 |
| Budesonide Dr Budesonide | 22 |
| Cholestyramine Cholestyramine (With Sugar) | 19 |
| Sucralfate | 18 |
| Dicyclomine Hcl | 17 |
| Famotidine | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Ted Rea, M.D. fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Ted Rea, M.D.'s 704 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in Idaho
Other clinicians with the same primary specialty enrolled in Idaho, drawn from the same CMS NPPES roster as Rea.
Dr. Paul Baehr
M.D.
Boise, ID
Dr. Clint Behrend
M.D.
Idaho Falls, ID
Dr. Hadi Bhurgri
MD
Ketchum, ID
Dr. Theodore Bohlman
M.D.
Meridian, ID
Dr. Bryan Brimhall
M.D.
Boise, ID
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Idaho medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gastroenterology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Ted Rea, M.D.'s specialty? ▼
Ted Rea, M.D. specializes in Gastroenterology Physician and practices in Twin Falls, Idaho. Credentials: M.D..
How much does Ted Rea, M.D. prescribe under Medicare Part D? ▼
In 2023, Ted Rea, M.D. wrote 704 Medicare Part D claims totaling $653K in drug costs for 155 beneficiaries.
Where is Ted Rea, M.D. located? ▼
Ted Rea, M.D. is located at 1411 FALLS AVE E, Twin Falls, ID, 83301. Phone: (208) 933-4277.
What is Ted Rea, M.D.'s NPI number? ▼
Ted Rea, M.D.'s National Provider Identifier (NPI) is 1497795215, issued on 06/08/2006.
Does Ted Rea, M.D. prescribe more brand-name or generic drugs? ▼
Ted Rea, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $613K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Ted Rea, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Ted Rea, M.D.'s most frequently prescribed drugs include Omeprazole, Ondansetron Hcl, Ozempic. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ted Rea, M.D. accept Medicare? ▼
Ted Rea, M.D. appears in CMS Medicare data with 704 Part D claims and 155 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ted Rea, M.D.'s credentials? ▼
Ted Rea, M.D.'s NPI is 1497795215 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.