Boise Shoulder Clinic, PA
NPI 1760581409 · Orthopaedic Surgery Physician · Eagle, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boise Shoulder Clinic, PA is a Orthopaedic Surgery Physician organization in Eagle, ID (NPI 1760581409).
Provider details
- NPI number
- 1760581409
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Humphrey, Owner(208) 639-4800
- License
- M9563 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Humphrey Shoulder Clinic
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2012-02-13
Frequently asked questions
- What is Boise Shoulder Clinic, PA's NPI number?
- Boise Shoulder Clinic, PA's National Provider Identifier (NPI) is 1760581409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boise Shoulder Clinic, PA?
- Boise Shoulder Clinic, PA is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Boise Shoulder Clinic, PA located?
- Boise Shoulder Clinic, PA's practice location on file with NPPES is 3381 W Bavaria Street, Eagle, ID 83616-5341.
- What is Boise Shoulder Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Boise Shoulder Clinic, PA is (208) 639-4800.
- Does Boise Shoulder Clinic, PA accept Medicare?
- Boise Shoulder Clinic, 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 Boise Shoulder Clinic, PA?
- The authorized official listed on Boise Shoulder Clinic, PA's NPPES record is Carl Humphrey, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boise Shoulder Clinic, PA's NPI active?
- Yes — Boise Shoulder Clinic, PA's NPI (1760581409) is active in the NPPES registry as of the last update on 2012-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.