Boise Endoscopy Center LLC
NPI 1114912102 · Ambulatory Surgical Clinic/Center · Boise, ID
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boise Endoscopy Center LLC is a Ambulatory Surgical Clinic/Center organization in Boise, ID (NPI 1114912102).
Provider details
- NPI number
- 1114912102
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Lockwood, Authorized Official(208) 342-7169
- License
- 1870273 (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
1,126 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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 376 | $572 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 262 | $292 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 151 | $466 |
| Insertion of Guide Wire With Dilation of Esophagus Using a Flexible Endoscope43248 | 116 | $383 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 84 | $443 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High Risk |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-15
- Last updated
- 2026-04-18
- Certified
- 2026-04-18
Frequently asked questions
- What is Boise Endoscopy Center LLC's NPI number?
- Boise Endoscopy Center LLC's National Provider Identifier (NPI) is 1114912102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boise Endoscopy Center LLC?
- Boise Endoscopy Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boise Endoscopy Center LLC located?
- Boise Endoscopy Center LLC's practice location on file with NPPES is 425 W Bannock St, Boise, ID 83702-6035.
- What is Boise Endoscopy Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Boise Endoscopy Center LLC is (208) 342-7169.
- Does Boise Endoscopy Center LLC accept Medicare?
- Boise Endoscopy 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 Boise Endoscopy Center LLC?
- The authorized official listed on Boise Endoscopy Center LLC's NPPES record is Robert Lockwood, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boise Endoscopy Center LLC's NPI active?
- Yes — Boise Endoscopy Center LLC's NPI (1114912102) is active in the NPPES registry as of the last update on 2026-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.