DR. NICHOLAS T. GAMBOA M.D.
NPI 1043716913
Neurological Surgery in Boise, ID

Active since April 01, 2018PECOS EnrolledAccepts Medicare Assignment
1072 N LIBERTY ST STE 200, BOISE, ID 83704(208) 302-4100 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2025, Sep 13, 2019, Aug 14, 2018 (3 updates tracked since 2018).

About Dr. Nicholas T. Gamboa M.d. NPPES

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

DR. NICHOLAS T. GAMBOA M.D. (NPI 1043716913) is an individual neurological surgery provider in Boise, Idaho, licensed in Idaho (6471162) and active in the NPI registry since April 2018. He 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

NPI1043716913
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. NICHOLAS T. GAMBOACredential: M.D.
Location Address1072 N LIBERTY ST STE 200Boise, ID 83704-8963
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2018
Enumeration DateApril 1, 2018
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1043716913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in ID · 6471162 Licensed in OR · MD225480
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

1072 N LIBERTY ST STE 200, Boise, ID 83704

Secondary Practice Location 1

Location 13325 Pocahontas RdBaker City, OR 97814-1464 · Phone (541) 523-6461

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

Dr. Nicholas T. Gamboa M.d. 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 ID6204269293
PECOS Enrollment IDI20250822002827
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 5

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

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St. Alphonsus Medical Center - Baker City

Critical Access Hospitals · Baker City, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381315
Location3325 Pocahontas RoadBaker City, OR 97814 · Baker County
Emergency services

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381321
Location900 Sunset DriveLa Grande, OR 97850 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Pediatrics)
1072 N LIBERTY ST STE 200
BOISE, ID 83704
Nurse Practitioner (Family)
1072 N LIBERTY ST STE 200
BOISE, ID 83704
Neurological Surgery
1072 N LIBERTY ST STE 200
BOISE, ID 83704
Radiology (Diagnostic Radiology)
1072 N LIBERTY ST STE 200
BOISE, ID 83704
Neurological Surgery
1072 N LIBERTY ST STE 200
BOISE, ID 83704
Neurological Surgery
1072 N LIBERTY ST STE 200
BOISE, ID 83704
Nurse Practitioner (Family)
1072 N LIBERTY ST STE 200
BOISE, ID 83704
Nurse Practitioner
1072 N LIBERTY ST STE 200
BOISE, ID 83704

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 Nicholas Gamboa's NPI number?

The NPI number for Nicholas Gamboa is 1043716913. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Where is Nicholas Gamboa located?

Nicholas Gamboa practices at 1072 N Liberty St Ste 200, Boise, ID 83704. The listed phone number is (208) 302-4100.

What is Nicholas Gamboa's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Nicholas Gamboa enrolled in Medicare?

Yes. Nicholas Gamboa 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 Nicholas Gamboa accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Nicholas Gamboa 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 Nicholas Gamboa affiliated with any hospitals?

According to CMS data, Nicholas Gamboa is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa, St. Alphonsus Medical Center - Baker City and Grande Ronde Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Gamboa was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.