Direct Orthopedic Care LLC
NPI 1104367028 · Orthopaedic Surgery Physician · Boise, ID
Enrolled with Medicare as Dme Supplier - Physician - Orthopedic/Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Direct Orthopedic Care LLC is a Orthopaedic Surgery Physician organization in Boise, ID (NPI 1104367028).
Provider details
- NPI number
- 1104367028
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jenny Hamilton, Billing Office Manager(208) 321-4000
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
9 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
- 2017-03-10
- Last updated
- 2017-03-10
Frequently asked questions
- What is Direct Orthopedic Care LLC's NPI number?
- Direct Orthopedic Care LLC's National Provider Identifier (NPI) is 1104367028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Direct Orthopedic Care LLC?
- Direct Orthopedic Care LLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Direct Orthopedic Care LLC located?
- Direct Orthopedic Care LLC's practice location on file with NPPES is 1789 S Broadway Ave, Boise, ID 83706-3800.
- What is Direct Orthopedic Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Direct Orthopedic Care LLC is (208) 321-4000.
- Does Direct Orthopedic Care LLC accept Medicare?
- Direct Orthopedic Care LLC 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 Direct Orthopedic Care LLC?
- The authorized official listed on Direct Orthopedic Care LLC's NPPES record is Jenny Hamilton, Billing Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Direct Orthopedic Care LLC's NPI active?
- Yes — Direct Orthopedic Care LLC's NPI (1104367028) is active in the NPPES registry as of the last update on 2017-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.