Idaho Physical Medicine and Rehabilitation PA
NPI 1497949705 · Ambulatory Surgical Clinic/Center · Meridian, ID
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho Physical Medicine and Rehabilitation PA is a Ambulatory Surgical Clinic/Center organization in Meridian, ID (NPI 1497949705).
Provider details
- NPI number
- 1497949705
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Idaho Physicial Medicine and Rehabilitation
- Organization subpart
- Yes
- Authorized official
- Kate Shelton, Administrator(208) 287-6558
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 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
916 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 of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 242 | $342 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 195 | $383 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 132 | $649 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 100 | $331 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 92 | $356 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without Arthrography |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-29
- Last updated
- 2014-06-05
Frequently asked questions
- What is Idaho Physical Medicine and Rehabilitation PA's NPI number?
- Idaho Physical Medicine and Rehabilitation PA's National Provider Identifier (NPI) is 1497949705, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Physical Medicine and Rehabilitation PA?
- Idaho Physical Medicine and Rehabilitation PA is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Idaho Physical Medicine and Rehabilitation PA located?
- Idaho Physical Medicine and Rehabilitation PA's practice location on file with NPPES is 3551 E Overland Road, Meridian, ID 83642.
- What is Idaho Physical Medicine and Rehabilitation PA's phone number?
- The practice phone number listed in the NPPES registry for Idaho Physical Medicine and Rehabilitation PA is (208) 884-1333.
- Does Idaho Physical Medicine and Rehabilitation PA accept Medicare?
- Idaho Physical Medicine and Rehabilitation PA 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 Physical Medicine and Rehabilitation PA?
- The authorized official listed on Idaho Physical Medicine and Rehabilitation PA's NPPES record is Kate Shelton, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Physical Medicine and Rehabilitation PA's NPI active?
- Yes — Idaho Physical Medicine and Rehabilitation PA's NPI (1497949705) is active in the NPPES registry as of the last update on 2014-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.