Portneuf Asc, LLC
NPI 1871016071 · Ambulatory Surgical Clinic/Center · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portneuf Asc, LLC is a Ambulatory Surgical Clinic/Center organization in Pocatello, ID (NPI 1871016071).
Provider details
- NPI number
- 1871016071
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Pocatello Health System, LLC
- Organization subpart
- Yes
- Authorized official
- Stephen Petrovich, Evp(615) 296-3000
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
8 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
450 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) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 145 | $444 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 135 | $574 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 93 | $301 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 31 | $444 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 30 | $444 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-19
- Last updated
- 2017-07-19
Frequently asked questions
- What is Portneuf Asc, LLC's NPI number?
- Portneuf Asc, LLC's National Provider Identifier (NPI) is 1871016071, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portneuf Asc, LLC?
- Portneuf Asc, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Portneuf Asc, LLC located?
- Portneuf Asc, LLC's practice location on file with NPPES is 1151 Hospital Way Bldg a, Pocatello, ID 83201-5091.
- What is Portneuf Asc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Portneuf Asc, LLC is (208) 232-6616.
- Does Portneuf Asc, LLC accept Medicare?
- Portneuf Asc, 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 Portneuf Asc, LLC?
- The authorized official listed on Portneuf Asc, LLC's NPPES record is Stephen Petrovich, Evp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portneuf Asc, LLC's NPI active?
- Yes — Portneuf Asc, LLC's NPI (1871016071) is active in the NPPES registry as of the last update on 2017-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.