The Shoulder Clinic of Idaho PLLC
NPI 1821164138 · Orthopaedic Surgery Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Shoulder Clinic of Idaho PLLC is a Orthopaedic Surgery Physician organization in Boise, ID (NPI 1821164138).
Provider details
- NPI number
- 1821164138
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Goodwin, Owner(208) 323-4747
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
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2023-03-14
- Certified
- 2023-03-14
Frequently asked questions
- What is The Shoulder Clinic of Idaho PLLC's NPI number?
- The Shoulder Clinic of Idaho PLLC's National Provider Identifier (NPI) is 1821164138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Shoulder Clinic of Idaho PLLC?
- The Shoulder Clinic of Idaho PLLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is The Shoulder Clinic of Idaho PLLC located?
- The Shoulder Clinic of Idaho PLLC's practice location on file with NPPES is 8854 W Emerald St, Boise, ID 83704-4844.
- What is The Shoulder Clinic of Idaho PLLC's phone number?
- The practice phone number listed in the NPPES registry for The Shoulder Clinic of Idaho PLLC is (208) 323-4747.
- Does The Shoulder Clinic of Idaho PLLC accept Medicare?
- The Shoulder Clinic of Idaho PLLC 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 The Shoulder Clinic of Idaho PLLC?
- The authorized official listed on The Shoulder Clinic of Idaho PLLC's NPPES record is Thomas Goodwin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Shoulder Clinic of Idaho PLLC's NPI active?
- Yes — The Shoulder Clinic of Idaho PLLC's NPI (1821164138) is active in the NPPES registry as of the last update on 2023-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.