Magic Valley Pain Specialists, PLLC
NPI 1003564998 · Pain Medicine (Anesthesiology) Physician · Burley, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Magic Valley Pain Specialists, PLLC is a Pain Medicine (Anesthesiology) Physician organization in Burley, ID (NPI 1003564998).
Provider details
- NPI number
- 1003564998
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tyler Roe, Owner(208) 678-7246
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-10
- Last updated
- 2022-09-27
- Certified
- 2022-09-27
Frequently asked questions
- What is Magic Valley Pain Specialists, PLLC's NPI number?
- Magic Valley Pain Specialists, PLLC's National Provider Identifier (NPI) is 1003564998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magic Valley Pain Specialists, PLLC?
- Magic Valley Pain Specialists, PLLC is classified in the NPPES registry as Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Magic Valley Pain Specialists, PLLC located?
- Magic Valley Pain Specialists, PLLC's practice location on file with NPPES is 1344 Hiland Ave Ste a, Burley, ID 83318-1564.
- What is Magic Valley Pain Specialists, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Magic Valley Pain Specialists, PLLC is (208) 678-7246.
- Does Magic Valley Pain Specialists, PLLC accept Medicare?
- Magic Valley Pain Specialists, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Magic Valley Pain Specialists, PLLC?
- The authorized official listed on Magic Valley Pain Specialists, PLLC's NPPES record is Tyler Roe, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magic Valley Pain Specialists, PLLC's NPI active?
- Yes — Magic Valley Pain Specialists, PLLC's NPI (1003564998) is active in the NPPES registry as of the last update on 2022-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.