North Idaho Pain Center LLC
NPI 1104896422 · Ambulatory Surgical Clinic/Center · Coeur D Alene, ID
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Idaho Pain Center LLC is a Ambulatory Surgical Clinic/Center organization in Coeur D Alene, ID (NPI 1104896422).
Provider details
- NPI number
- 1104896422
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tina Botai, Practice Administrator(208) 765-4807
- License
- 13C0001058 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,330 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 335 | $284 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 208 | $346 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 201 | $338 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 177 | $406 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 130 | $652 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Frequently asked questions
- What is North Idaho Pain Center LLC's NPI number?
- North Idaho Pain Center LLC's National Provider Identifier (NPI) is 1104896422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Idaho Pain Center LLC?
- North Idaho Pain Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is North Idaho Pain Center LLC located?
- North Idaho Pain Center LLC's practice location on file with NPPES is 1686 W Riverstone Dr Ste 2, Coeur D Alene, ID 83814-5779.
- What is North Idaho Pain Center LLC's phone number?
- The practice phone number listed in the NPPES registry for North Idaho Pain Center LLC is (208) 765-4807.
- Does North Idaho Pain Center LLC accept Medicare?
- North Idaho Pain Center 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 North Idaho Pain Center LLC?
- The authorized official listed on North Idaho Pain Center LLC's NPPES record is Tina Botai, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Idaho Pain Center LLC's NPI active?
- Yes — North Idaho Pain Center LLC's NPI (1104896422) is active in the NPPES registry as of the last update on 2025-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.