SHEILA M GIFFEN MD
NPI 1013957802
Family Medicine in Boise, ID

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
471 BAYBROOK CT, BOISE, ID 83706(208) 367-4250(208) 367-8158 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sheila M Giffen Md NPPES

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

SHEILA M GIFFEN MD (NPI 1013957802) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M7796) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Baker City.

NPPES Registry Identity

NPI1013957802
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHEILA M GIFFENCredential: MD
Location Address471 BAYBROOK CTBoise, ID 83706-3900
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Fax(208) 367-8158
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 8, 2024
NPPES CertifiedFebruary 8, 2024
NPI 1013957802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ID · M7796 Licensed in OR · MD174985
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

471 BAYBROOK CT, Boise, ID 83706

Secondary Practice Location 1

Location 13325 Pocahontas RdBaker City, OR 97814-1464 · Phone (541) 524-8000

Other Identifiers 1

Medicaid805217200ID

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

Sheila M Giffen Md 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 ID7012966922
PECOS Enrollment IDI20210528001878
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Internal Medicine
471 BAYBROOK CT
BOISE, ID 83706

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 Sheila Giffen's NPI number?

The NPI number for Sheila Giffen is 1013957802. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Sheila Giffen located?

Sheila Giffen practices at 471 Baybrook Ct, Boise, ID 83706. The listed phone number is (208) 367-4250.

What is Sheila Giffen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sheila Giffen enrolled in Medicare?

Yes. Sheila Giffen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sheila Giffen accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Sheila Giffen 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.

Is Sheila Giffen affiliated with any hospitals?

According to CMS data, Sheila Giffen is affiliated with St Luke's Regional Medical Center and Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sheila Giffen was last updated on February 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.