ALYSSA M WOODBURY PA-C
NPI 1013357318
Physician Assistant in Pocatello, ID

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
72.72/100
CMS Quality Rating
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-1226(208) 239-3671 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 28, 2025, Aug 4, 2024, Jan 17, 2023 (3 updates tracked since 2023).

About Alyssa M Woodbury Pa-c NPPES

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

ALYSSA M WOODBURY PA-C (NPI 1013357318) is an individual physician assistant in Pocatello, Idaho, licensed in Idaho (PA-2800) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1013357318
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALYSSA M WOODBURYCredential: PA-C
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing AddressP.o. Box 4168Pocatello, ID 83205-4168 · (208) 239-1035 · Fax (208) 239-3626
Fax(208) 239-3671
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 1, 2013
Last NPPES UpdateNovember 28, 20253 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
NPI 1013357318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA-2800
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

777 HOSPITAL WAY, Pocatello, ID 83201

Other Names 1

Former Name (1)Alyssa M Huber Pa-c

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alyssa M Woodbury Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325278088
PECOS Enrollment IDI20240926004364
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.98
Promoting Interoperability100
Improvement Activities40
Cost48.1

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
777 HOSPITAL WAY
POCATELLO, ID 83201
Obstetrics & Gynecology
777 HOSPITAL WAY, BLDG A, STE 300
POCATELLO, ID 83201
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Obstetrics & Gynecology
777 HOSPITAL WAY, BLDG A SUITE 300
POCATELLO, ID 83201
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Emergency Medicine (Emergency Medical Services)
777 HOSPITAL WAY
POCATELLO, ID 83201
Clinic/Center (Multi-Specialty)
777 HOSPITAL WAY
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013357318, enumerated as an "individual" on July 01, 2013.

The provider is located at 777 HOSPITAL WAY POCATELLO, ID 83201 and the phone number is (208) 239-1226.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Select Health. Please consult your insurance carrier or call the provider to verify.

Alyssa Woodbury is affiliated with: PORTNEUF MEDICAL CENTER.