IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC
NPI 1003157801
Orthopaedic Surgery - Hand Surgery in Pocatello, ID

Q: What is Idaho Regional Hand & Upper Extremity Center PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Active since March 05, 2013

444 HOSPITAL WAY STE 710, POCATELLO, ID 83201(208) 235-4263(208) 233-4268 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2018, Mar 29, 2018, Mar 28, 2016 (3 updates tracked since 2016).

On this page

About Idaho Regional Hand & Upper Extremity Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC (NPI 1003157801) is a healthcare organization registered as a hand surgery in Pocatello, Idaho and active in the NPI registry since March 2013. The organization lists Jeffrey Dee Stucki, President, as its authorized official.

NPPES Registry Identity

NPI1003157801

Entity TypeOrganization

Primary Taxonomy207XS0106X

Legal Business NameIDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC

Location Address444 HOSPITAL WAY STE 710Pocatello, ID 83201

Mailing Address444 Hospital Way Ste 710Pocatello, ID 83201-2745 · (208) 235-4263 · Fax (208) 233-4268

Phone(208) 235-4263

Fax(208) 233-4268

Organization SubpartNo

Authorized OfficialJeffrey Dee StuckiPresident · (208) 235-4263

Enumeration DateMarch 5, 2013

Last NPPES UpdateAugust 30, 20183 updates tracked since enumeration

✔ NPI 1003157801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

Licenses✔ Licensed in ID · O-0574✔ Licensed in ID · M-8547

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA-684 (ID)

444 HOSPITAL WAY STE 710, Pocatello, ID 83201

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idaho Regional Hand & Upper Extremity Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIdahoEnrollment IDO20150121002223DME · Physician - General PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Idaho Regional Hand & Upper Extremity Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Vermon Esplin, MD

Orthopedic Surgery

NPI 1457345316

444 HOSPITAL WAY STE 710
Pocatello, ID 83201

(208) 235-4263

✔ PECOS✔ Accepts MedicareSame address

Jeffrey Stucki, DO

Orthopedic Surgery

NPI 1083857536

444 HOSPITAL WAY STE 710
Pocatello, ID 83201

(208) 234-4263

✔ PECOS✔ Accepts MedicareSame address

Ryan Miller, D.O.

Orthopedic Surgery

NPI 1073877213

444 HOSPITAL WAY STE 710
Pocatello, ID 83201

(208) 235-4263

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Regional Hand & Upper Extremity Center PLLC's NPI number?

The NPI number for Idaho Regional Hand & Upper Extremity Center PLLC is 1003157801. It was assigned to this organization in the NPPES registry on March 5, 2013.

Where is Idaho Regional Hand & Upper Extremity Center PLLC located?

Idaho Regional Hand & Upper Extremity Center PLLC is located at 444 Hospital Way Ste 710, Pocatello, ID 83201. The listed phone number is (208) 235-4263.

What is Idaho Regional Hand & Upper Extremity Center PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Idaho Regional Hand & Upper Extremity Center PLLC enrolled in Medicare?

Yes. Idaho Regional Hand & Upper Extremity Center PLLC is registered in the Medicare PECOS enrollment system.

When is Idaho Regional Hand & Upper Extremity Center PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Idaho, Physician - General Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Idaho Regional Hand & Upper Extremity Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Orthopedic Surgery, reassign their Medicare billing to Idaho Regional Hand & Upper Extremity Center PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idaho Regional Hand & Upper Extremity Center PLLC accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare and University of Utah Health Plans list Idaho Regional Hand & Upper Extremity Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idaho Regional Hand & Upper Extremity Center PLLC was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.