MR. JEFFREY BENSON HARGRAVES PA-C
NPI 1053040493
Physician Assistant in Coeur D Alene, ID

Q: What is Jeffrey Hargraves's NPI number?

The NPI number for Jeffrey Hargraves is 1053040493. It was assigned to this individual provider in the NPPES registry on June 9, 2022.

Q: What is Jeffrey Hargraves's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Hargraves was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 09, 2022PECOS EnrolledAccepts Medicare Assignment

1090 W PARK PL, COEUR D ALENE, ID 83814(208) 620-5250 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2022, Aug 7, 2022, Jun 9, 2022 (3 updates tracked since 2022).

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About Mr. Jeffrey Benson Hargraves Pa-c NPPES

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

MR. JEFFREY BENSON HARGRAVES PA-C (NPI 1053040493) is an individual physician assistant in Coeur D Alene, Idaho and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Shelley.

NPPES Registry Identity

NPI1053040493

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JEFFREY BENSON HARGRAVESCredential: PA-C

Location Address1090 W PARK PLCoeur D Alene, ID 83814-2785

Mailing Address1456 N 800 EShelley, ID 83274-5014 · (208) 821-2412

Phone(208) 620-5250

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 9, 2022

Last NPPES UpdateSeptember 13, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2022

✔ NPI 1053040493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

1090 W PARK PL, Coeur D Alene, ID 83814

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Secondary Practice Location 1

Location 11456 N 800 EShelley, ID 83274-5014 · Phone (208) 821-2412

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Mr. Jeffrey Benson Hargraves 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 ID3971989153

PECOS Enrollment IDI20220927000389

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 4

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

128 services89 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

38 services16 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

18 services17 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID

OwnershipProprietary

CMS Certification Number130066

Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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.

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.

DEBORAH MAGNUSON APRN

Nurse Practitioner (Pediatrics)