Idaho Skin Surgery Center, PC
NPI 1295908127 · Dermatology Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho Skin Surgery Center, PC is a Dermatology Physician organization in Boise, ID (NPI 1295908127).
Provider details
- NPI number
- 1295908127
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jared Scott, President(208) 433-1114
- License
- M-10116 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2008-04-11
- Last updated
- 2014-12-12
Frequently asked questions
- What is Idaho Skin Surgery Center, PC's NPI number?
- Idaho Skin Surgery Center, PC's National Provider Identifier (NPI) is 1295908127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Skin Surgery Center, PC?
- Idaho Skin Surgery Center, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Skin Surgery Center, PC located?
- Idaho Skin Surgery Center, PC's practice location on file with NPPES is 1906 S Vista Ave, Boise, ID 83705-3453.
- What is Idaho Skin Surgery Center, PC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Skin Surgery Center, PC is (208) 433-1114.
- Does Idaho Skin Surgery Center, PC accept Medicare?
- Idaho Skin Surgery Center, PC 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 Idaho Skin Surgery Center, PC?
- The authorized official listed on Idaho Skin Surgery Center, PC's NPPES record is Jared Scott, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Skin Surgery Center, PC's NPI active?
- Yes — Idaho Skin Surgery Center, PC's NPI (1295908127) is active in the NPPES registry as of the last update on 2014-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.