Idaho Endoscopy Center LLC
NPI 1750616249 · 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)
Idaho Endoscopy Center LLC is a Ambulatory Surgical Clinic/Center organization in Boise, ID (NPI 1750616249).
Provider details
- NPI number
- 1750616249
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Mallory, Manager/Doctor(208) 489-1900
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
16 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
2,193 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 | 899 | $571 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 413 | $315 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 250 | $425 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 186 | $443 |
| Insertion of Guide Wire With Dilation of Esophagus Using a Flexible Endoscope43248 | 181 | $389 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High Risk |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-16
- Last updated
- 2020-07-23
- Certified
- 2020-07-23
Frequently asked questions
- What is Idaho Endoscopy Center LLC's NPI number?
- Idaho Endoscopy Center LLC's National Provider Identifier (NPI) is 1750616249, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Endoscopy Center LLC?
- Idaho Endoscopy Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Idaho Endoscopy Center LLC located?
- Idaho Endoscopy Center LLC's practice location on file with NPPES is 6259 W Emerald St, Boise, ID 83704-8731.
- What is Idaho Endoscopy Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Endoscopy Center LLC is (208) 489-1900.
- Does Idaho Endoscopy Center LLC accept Medicare?
- Idaho 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 Idaho Endoscopy Center LLC?
- The authorized official listed on Idaho Endoscopy Center LLC's NPPES record is Mark Mallory, Manager/Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Endoscopy Center LLC's NPI active?
- Yes — Idaho Endoscopy Center LLC's NPI (1750616249) is active in the NPPES registry as of the last update on 2020-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.