Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cory Spicer, MD

Individual provider Internal Medicine Physician · NPI 1932512811

Cory Spicer, MD is a Diagnostic Radiology in Idaho Falls, Idaho. Graduated from Texas a & M University System, Hsc, College of Medicine in 2014, 12 years ago. Practices with Teton Radiology Diagnostic a Series of Teton Group Enterprise, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Idaho, Montana and Wyoming.

Years since qualifying
12
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
AZ, ID, MT, WY
In the registry since
2014
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2265 E Sunnyside Rd
Idaho Falls, ID 83404-7598
Phone: (208) 542-5000
Fax: (208) 542-5151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 N Campbell Ave Rm 1355, Tucson, AZ 85724-5067 — (520) 626-7402

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M-15070 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence R74548 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence R74548 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MED-PHYS-LIC-80820 (MT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 12620A (WY)

Record details

NPI number1932512811
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 9, 2014
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Teton Radiology Diagnostic A Series Of Teton Group Enterprise — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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